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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> DCPZP-2018-00604 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> REGGIE L LUND (608) 345-0512 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2777 MARSHALL PKWY <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> REGGIELUND@GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-273-6952-6 TOWN OF MADISON <br /> 27 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2777 MARSHALL PKWY <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 SAWYER ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-2 Residence .328 Description:HOME ADDITION-SECOND FLOOR(REVISED TO 434- Residential Addition <br /> District INCLUDE�FEYW`dPORCHE%ON FIRST FLOOR) <br /> Category ® Residential 0 Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private LETTER <br /> 0 Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO El YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1737 <br /> 26 Sq.Ft. Sq.Ft.450 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $130,000.00 <br /> 2 Sq.Ft. 1287 Sq.Ft. PERMIT FEE <br /> $192.25 <br /> I, 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 SIGNAT 'E: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. <br /> 3-2.1 -11 <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE � - INITIALS 5L <br /> 10/25/2018 PMK2 <br /> �J❑ YES ® NO DATE REVIEWED Q INITIALS 2nd INSPECTION DATE <br /> INITIALS S I )Y <br /> Initials: <br /> �—a,1 , S L /,�- t� <br />