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nANr rni INTV 7nKIING PERMIT ZONING PERMIT NO I <br /> OCPZP-22021-00407 <br /> OWNER INFORMATION AGENT/COP/TRACTOR INF OR/IA TION <br /> C LNL'VAYL F,ZNE ASENTAXNTPAC-OR NAME ENDEE <br /> MELANIE A BALSIS (608)852-5128 KYLE NORSETTER (608)333-9116 <br /> M ANG ACORESS INr[N.Stitt', ADDRESS plumper.Same <br /> 3622 SADDLE RIDGE RD 4255 SUNSET RIDGE <br /> (Cay.SNIe.ZD) ICdy Slate ZOI <br /> DEERFIELD,WI 53531 COTTAGE GROVE,WI 53527 <br /> E.MNL.ADORESS E-MAIL ADDRESS <br /> MELANIEBALSIS@HOTMAIL COM KNEXTERIORSOGMAIL.COM <br /> • • SECICN lee <br /> 0712302-3144-7 TOWN OF DEERFIELD 30 NW NV:- <br /> tweJa9cartamT HouseNO. 3-.DIRECTION STREET HANE I>- ''I`L <br /> IAnlgnmem a new address la 3622 SADDLE RIDGE I RD <br /> subject to fold rpittvdn.) <br /> LOT orate C.EM.NO.oratNAME <br /> 14 NORA HEIGHTS <br /> td <br /> ZOkG D6TRICT P RCFiMAEA(E PRCPOSED PAO:ECT: Akeneen to existing miming CENSUS CAGE <br /> RR•2 Rural 1.98 Desamen:DECK ADDN'WI STAIRS 434 •Resdential Addition <br /> Residential District <br /> Category a Rndental 0 Can»ICM 0 Agwbra SEWER sANrAnv pERM^C <br /> ❑ ar«: Private <br /> ROAD CLASSFICATION REZONENo. C.UA.NQ VARIANCE NO. DEED RESTRICT ION <br /> E-A$Osler <br /> ❑ YES <br /> SID:ELAND FLOOD ZONE WETAND EGON NO. <br /> 0 YES ❑ NO ❑ YES 0 NO ❑ YES 0 NO <br /> HEIGHT In Feet) BASEMENT 'SI FLOOR TOTAL SQUARE FEE- <br /> 7 Se Fl. Se.FI.366 388 <br /> PRO.ECT COST <br /> NO CF STORIES '2nd FLOOR So R.COR $27,000.00 <br /> 1 Sc H. SC Fl. PERMIT FEE <br /> $88.80 <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 Coun ring inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Orlinaes.Anynauhorae to complywith all Daneoanon SIGNATURE:Owl /�� DATE <br /> Ordinances.Ag nth hereby egret change wit the Infn Coon or <br /> plans submitted will invalidate the perms. <br /> OFFICE USE ONLY n.n .r..rot Ga 0001 <br /> SC RVEY RE G..RED'' OCT ISSLCO NN'a1LS •sI INSPECTCNOATE INITIALS <br /> YES 0 NO OTn5,202' ELM <br /> ❑ DA'E REVEWED INITIALS 2rC NSPEC-KIN DATE INITIALS <br /> Mab: <br />