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DANE COUNTY ZONING PERMIT DCPZP-2016-00727 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SCHMOEGER REV TR (608)663-8600 Tyler Weavers (808)729-2992 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number.Street) <br /> 1986 RATHERT RD 718 Jupiter Drive <br /> (City,State,Zip) (Clly,State,Zip) <br /> COTTAGE GROVE,WI 53527 Madison,WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sfrank@oekparkplace.com tweavers@.wisc.edu <br /> PARCEL NO. TOWNSHIP SECTION 1f4 114 1/4 <br /> 0711-114-8950-0 TOWN OF COTTAGE GROVE 11 SE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 1986 RATHERT RD <br /> subject to field vs/Mallon.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 12882 <br /> 'TONING DISTRICT P RCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-2(8)Agriculture Description:breakfast room,office addition to residence 434-Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricullursl SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road DCPREZ-2010-10120 ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND ECJSW NO. <br /> ❑ YES 0 NO 0 YES U NO ❑ YES ❑ NO <br /> _ <br /> HEIGHT(In Feet) BASEMENT tat FLOOR TOTAL SQUARE FEET <br /> 260 <br /> 20 Sq.Ft.130 Sq.Ft.130 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $30,000.00 <br /> 1 Sq.Ft. Sq.Ft PERMIT FEE <br /> $69.50 <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 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 br ,ifflcult <br /> to identify. Failure to comply may result in removal or modification of construction that violates or <br /> other penalties or costs. For more information, visit the Department of Natural Resources w= •t <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 ins er the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNAT ne gent DATE: <br /> Ordinances.Any unauthorised change from the Information or <br /> plane submitted will Invalidate the permit. <br /> iicelf , <br /> OFFICE USE ONLY (furni version 0301.001 <br /> SURVEY REQUIRED DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/02/2016 RLB <br /> (� ❑ m NO DATE REVIEWED INITIALS 2nd INSPECTION GATE INITIALS <br /> Inatals;V <br />