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DANE' I OUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page lof2 <br /> DCPZP-2015-00518 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TRAMBURG REV R,ROBERT&ANGELA (608) 832-6225 TROY MEHLHOFF (920) 885-8362 <br /> BILLING ADDRESS( umber,Street) ADDRESS(Number,Street) <br /> 8385 S KOL_' H RD W9684 BEAVERLAND PARKWAY <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI '3593 BEAVER DAM, WI 53916 <br /> E-MAIL ADDRES E-MAIL ADDRESS <br /> RTRAMBU I►VITAPLUS.COM TMEHLHOFF @NEUMANPOOLS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0607-3-P-9001-0 TOWN OF SPRINGDALE 35 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 8385 S KOLLATH RD <br /> • <br /> subject to field vsri cation.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agrict,It re 38.1 Description:14X28 GAZEBO 329-Other <br /> District <br /> Category ■+ Residential 0 Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Other: Private <br /> 0 ROAD CLASSIFIDAT•N REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Ro.d <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES iti NO p YES ® NO Ei YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> O , / _1 392 <br /> PROJECT COST l0 Sq.Ft. Sq.Ft.392 ST %SI p2 92! OQO, Ogy NO.OF STORIES 2nd FLOOR 3rd FLOOR <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $79.40 <br /> I, the unders gned, 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 wi h any provision or condition of this permit renders this zoning permit null and void and <br /> subject to ern orcement action. <br /> I acknowled•e that I am responsible for complying with State and Federal laws concerning construction <br /> near or on w-tlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to id:ntify. Failure to comply may result in removal or modification of construction that violates <br /> the law or of er penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at .dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby con.ent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of 'etermining compliance with the zoning ordinances. <br /> Owner&Agent he eby agree to comply with all Dane County é NATUR- c wnerlAgent DATE: <br /> Ordinances.Any nauthorized change from the information o <br /> plans submitted II invalidate the permit. f % ' .I. ' I <br /> OFFICE Lgi E ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/13/2015 SJW3 <br /> Y S ® NO <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 's/ <br /> Initials. �I it ^�. V 111 <br />