Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> DCPZP-2015-00172 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WRF HOLDINGS, LLC (608)441-6757 GARY BRINK @ ASSOCIATES INC (608)829-1750 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5305 BUTTONWOOD DR 7780 ELMWOOD AVE #204 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53704 MADISON, WI 53704 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> muselman @windriverfinancial.com garybrink @garybrink.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0810-154-0109-5 15 <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 65 Buttonwood CT <br /> subject to field verification.) <br /> C.S.M.NO.or PLAT NAME <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> Development District 2.76 Description:temp.crane 329-Other <br /> • <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> D Other: Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES O NO ❑ YES ® NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 11240 <br /> 180 Sq.Ft. Sq.Ft. <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $0.00 <br /> 0 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $200.00 <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 ordi . ce . <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU-E: ! g D T <br /> r/ e/•Ordinances.Any unauthorized change from the information or -. <br /> plans submitted will invalidate the permit. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/14/2015 SSA1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />