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DANE COUNTY ZONING PERMIT <br />CPZP- 2013 -00744 <br />Dc- <br />OWNER .- .- INFORMATION <br />OWNER NAME PHONE AGENT /CONTRACTOR NAME PHONE <br />JOSEPH E REIMER (608) 835 -0087 <br />BILLING ADDRESS (Number, Street) ADDRESS <br />(Number, Street) <br />1543 STORYTOWN RD <br />(City, State, Zip) (City, <br />State, Zip) <br />OREGON, WI 53575 <br />E -MAIL ADDRESS E -MAIL ADDRESS <br />Jreimer @sussexim.com <br />SECTION 1/4 1/41/4 <br />5 NW SE <br />0509 - 052 - 9940 -5 TOWN OF OREGON <br />• -. • - s s - HOUSE NO. <br />ST. DIRECTION <br />STREET NAME <br />ST. TYPE <br />1543 <br />STORYTOWN <br />RD <br />(Assignment of new address is <br />subject to field verification.) <br />LOT <br />BLOCK <br />C.S.M. NO. or PLAT NAME <br />1 <br />CSM 01019 <br />ZONING DISTRICT <br />PARCEL ACREAGE <br />PROPOSED PROJECT: New Structure /Addition <br />CENSUS CODE <br />R -1A Residence <br />1.57 <br />Description: detached shed <br />438 - Garage <br />District <br />Category ® Residential ❑ Commercial ❑ Agricultural SEWER <br />SANITARY PERMIT NO. <br />Private <br />❑ Other: <br />ROAD CLASSIFICATION <br />REZONE NO. <br />C.U.P. NO. <br />VARIANCE NO. <br />DEED RESTRICTION <br />C -Town Road <br />r <br />,qq <br />❑ YES ® NO <br />SHORELAND <br />FLOOD ZONE <br />WETLAND <br />EC /SW NO. <br />❑ YES ® NO <br />❑ YES ® NO <br />❑ YES ® NO <br />HEIGHT (In Feet) <br />BASEMENT <br />1st FLOOR <br />TOTAL SQUARE FEET <br />256 <br />9 <br />Sq. Ft. <br />Sq. Ft. 256 <br />PROJECT COST <br />$4,500.00 <br />NO. OF STORIES <br />2nd FLOOR <br />3rd FLOOR <br />PERMIT FEE <br />$69.20 <br />1 <br />Sq. Ft. <br />Sq. Ft. <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 <br />subject 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 <br />difficult to identify. Failure to comply may result in removal or modification of construction that violates <br />the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br />page at 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 RE: O nedAgent D TE: <br />Ordinances. Any unauthorized change from the information or <br />�� �/� <br />plans submitted will invalidate the permit. f 3 <br />OFFICE rr r <br />SURVEY REQUIRED ? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br />10/07/2013 SCW 1 <br />® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br />Initials 1 O - 7 ^V P M <br />