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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page lof2 <br /> DCPZP-2021-00338 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT:CONTRACTOR NAME PHONE <br /> JOHN BROWN (310)993-6728 SCHWINGLE BUILDERS (608)798-1700 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number.Street) <br /> 1611 COUNTY HIGHWAY D 7894 WOOD POND TRAIL <br /> ;City.State,Z p) (City.State,Zip) <br /> OREGON, WI 53575 CROSS PLAINS,WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SCHWINGLEBUILDERS@YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1'4 1/4 <br /> 0509-042-8110-0 TOWN OF OREGON 4 NW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME S- TYPE <br /> (Assignment of new address is 1617 COUNTY HIGHWAY D <br /> subject to field verification.) <br /> LOT ;BLOCK C.S.P.NO.or PLAT NAME <br /> 1 iCSM 14702 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RM-8 Rural Mixed- 8.3 Description:SFR WITH FRONT AND REAR PORCHES 101 -SFR(detached) <br /> Use District <br /> Category 0 Residential ❑ Commercial 0 Agricultural SEWER SANITARY PERMIT NO. <br /> Private 13-2021-00140 <br /> 0 Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway <br /> YES D NO <br /> SHORELAND FLOOD ZONE WETLAND ECISW NO. <br /> ❑ YES 0 NO ❑ YES 21 NO ❑ YES 0 NO EC2021-0100 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4783 <br /> 23 sq_FL 1789 sa.Ft.2994 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3re FLOOR 5649,625.00 <br /> 1 Sp.Ft. SC.Ft. PERMIT FEE <br /> S528.30 <br /> 1, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SURE_ Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit ,/_ IQ( I c!24 <br /> to <br /> OFFICE USE ON:Y (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/1512021 PMK2 <br /> 0 YES 29 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:—�J—. .. <br />