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DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2021-00419 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> VERMONT ACRES LLC (815)440-1706 Meier Construction (608)469-7889 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4374 STATE HIGHWAY 78 575 DOnofrio Dr., Ste. 101 <br /> (City,State,Zip) (City,State,Zip) <br /> BLACK EARTH, WI 53515 Madison, WI 53719 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> carlock@wmpj.com steve@meierc.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 114 <br /> 0706-052-9800-0 TOWN OF VERMONT 5 NW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 4678 Cedar Hill LN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 15762 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RM-8 Rural Mixed- 9.22 Description:4 bdrm sfr 101 -SFR (detached) <br /> Use District <br /> Category 0 Residential fl Commercial J Agricultural SEWER SANITARY PERMIT NO. <br /> Private 13202100156 <br /> Li Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 11693 <br /> [_ YES Li NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES Li NO U YES ❑✓ NO ❑ YES 2 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3118 <br /> 32 Sq.Ft.693 Sq.Ft.1632 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $554,000.00 <br /> 2 Sq.Ft.1486 Sq.Ft. PERMIT FEE <br /> $361.80 <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 /> 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 SIG TURE: O r/A entDigitallysignedbySteveMeier DATE: <br /> Ordinances.Any unauthorized change from the information or `, Q r DN:cn=Steve Meier,o=Meier Construction," <br /> plans submitted will invalidate thepermit. v , ou,email=steve@meier.com,c=US V 7/21/21 <br /> ✓ Date:2021.07.21 15:46:12-05'00' <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/21/2021 SC W 1 <br /> ❑ YES 21 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initxls: SM <br />