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DCPZP-2015-00502
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DCPZP-2015-00502
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7/13/2015 10:08:00 AM
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DCPZP-2015-00502
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DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2015-00502 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> NATHAN D WAGNER (847)409-7243 CHRIS MILLER CONST. LLC <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 135 N SOUTHPORT RD 3186 KINNEY RD <br /> (City,State,Zip) (City,State,Zip) <br /> MUNDELEIN, IL 60060 COTTAGE GROVE, WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Chris.m it ler.construction @gmail.corn <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0808-054-0023-0 TOWN OF SPRINGFIELD 5 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7424 HARMONY �6N D RD <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 3 HARMONY POND <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 3.0 Description:single family residence and deck 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial 0 Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Private 13-2015-00220 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other 10082 ❑ YES @ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7705 <br /> 30 Sq.Ft.3000 Sq.Ft.4705 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $400,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $627.88 <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 SIG■ • O ner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or ,'-� �) <br /> plans submitted will invalidate the permit. rVl - 7 l-5 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/07/2015 SSA1 <br /> YES ❑ NO <br /> { I DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initial /1"� 1V115 <br />
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