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DANE COUNTY ZONING PERMIT Page 1 of 2 DCPZP 2017-00014 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE BRYAN R SPANGLER (605) 870-0325 Cleary Building (608) 845-9700 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 3067 VILAS RD 190 Paoli St. (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 Verona, WI 53593 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0611-061-9665-1 TOWN OF PLEASANT SPRINGS 6 NE SE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 3067 VI LAS RD subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE RH-4 Rural Homes Description:detached accessory building 328 -Other Non-Residential District (no plumbing allowed) Category 0 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C-Town Road 10645 ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. 0 YES RI NO ❑ YES 0 NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 4056 26 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $90,000.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $354.20 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinance:. Owner&Agent hereby agree to comply with all Dane County SIGNAT - 'E: w - /A• a. t• ' E: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit. ,- 7' �� OFFICE USE ONLY (forri versiun 03.01.00) SURVEY REQUIRED? DATE ISSUED INIT •LS 1st INSPECTION DATE INITIALS 02/02/2017 DJ E 1 ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: