Laserfiche WebLink
DANE COUNTY ZONING PERMIT Page 1of2 <br /> DCPZP 2016 00386 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOHN R SNELL (608) 835-5209 ADD ON REMODELING (608) 846-3598 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 558 ECHO VALLEY RD 429 LINDE ST <br /> (City,State,Zip) (City,State,Zip) <br /> BROOKLYN, WI 53521 DEFOREST, WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> STELLREV @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-272-2619-3 TOWN OF OREGON 27 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 558 ECHO VALLEY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 19 OREGON ASSESSOR'S PLAT,TOWN OF <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 3.058 Description:REPLACING 10'BY30' PART OF EXISTING DECK 434- Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ ocne Private <br /> CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 6123 ❑ YES 6a NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 10 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 300 <br /> Sq.Ft. Sq.Ft. __ <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $3,500.00 <br /> 0 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $72.50 <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 SIGNATUR 'Owner/Ag DATE: j( <br /> Ordinances.Any unauthorized change from the information or 21-1 <br /> plans submitted will invalidate the permit. Air <br /> OFFICE■USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/24/2016 SSA1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:C G -(37 - /c c3iK <br />