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ZONING PERMIT NO. Page 1 of 2 <br /> DANE COUNTY ZONING PERMIT DCPZP-2022-00682 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RYAN T STROHM (608) 212-1758 Jason Thomas Homes LLC (608)203-5592 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number,Street) <br /> 1110 FEATHER EDGE DR 7521 Hubbard Avd., <br /> (City.State,Zip) (City.State.Zip) <br /> VERONA, WI 53593 Middleton, WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> strohmrtl2©gmail.com michelle©jasonthomashomes.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0608-061-6031-0 TOWN OF VERONA 6 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is 3109 Fox Hill TRAIL <br /> subject to field verification.) <br /> LO1 1BLOCK C.S.M.NO.or PLAT NAME <br /> 20 1 FOX HILL,A CONDOMINIUM <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> MFR-08 Multi-Family 1.79 Description:5 bdrm sfr 101 - SFR (detached) <br /> Residential District <br /> Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private 13202200249 <br /> f ❑ Other. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other D YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> El YES 0 NO ❑ YES 0 NO ❑ YES ® NO 202200380 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7479 <br /> 24 Sq.Ft.2388 Sq.Ft.3881 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $798,000.00 <br /> 2 Sq.Ft. 1210 Sq Ft PERMIT FEE <br /> $797.90 <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 SIG•TURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or 2 'I I0/ <br /> plans submitted will invalidate the permit. ' 410171%... <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/30/2022 SC W 1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials. <br />