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DANE COUNTY ZONING PERMIT DCPZP-2016100576 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ADAM C WENDORF <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2817 SPRING HILL DR <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> adam @wendorfconstruction.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0611-271-8215-3 TOWN OF PLEASANT SPRINGS <br /> 27 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 2048 SPRING RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 08082 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-2 Rural Homes Description:64'x 50'x 21'personal storage shed 329-Other <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road dcprez-0000-06399 ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. . <br /> ® YES ❑ NO ❑ YES ❑ NO ❑ YES El NO ec2016-0343 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3240 <br /> 21 Sq.Ft. Sq.Ft.3240 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR •3rd FLOOR $400,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $293.00 <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 ..J.• ne A.• • DATE <br /> Ordinances.submitted Any will invalidate change from the information or /�� / / \1 4' `// <br /> submitted will invalidate the permit. l/(�/l <br /> OFFICE USE ONLY (form v,rsic,i 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/02/2016 RLB <br /> 7•^'® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initia •iJ, <br />