Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pagel oft <br /> DCPZP-2016-00014 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> QUALITY PROPERTIES OF SPRINGFIELD (608)831-7787 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 6077 US HIGHWAY 12 <br /> (City,State,Zip) (City,State,Zip) <br /> DANE,WI 53529 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> qesincorporated @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0808-092-8855-9 TOWN OF SPRINGFIELD 9 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6077 US HIGHWAY 12 <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 03220 <br /> ZONING DISTRICT 'PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> C-2 Commercial 0.6 Description: 329-Other <br /> District <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway dcprez-0000-00762 D YES '4 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ta NO ❑ YES IA NO ❑ YES T,E4 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7500 <br /> 25 Sq.Ft. Sq.Ft.7500 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $350,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $900.00 <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 SIGNA : Owner/ gen DATE: <br /> Ordinances.Any unauthorized change from the information or��. y,� I^ // <br /> plans submitted will invalidate the permit. 1it.�-6Q (Q <br /> OFFICE JSE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 01/26/2016 RLB <br /> YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials . t ' i <br /> I <br />