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DANE COUNTY ZONING PERMIT Page of <br /> DCPZP 2016-00801 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANE COUNTY LAND INVESTMENTS LLC (608)217-5558 JONATHAN JAECK (608) 217-5558 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1357 DIANE AVE 2479 GLENN DR <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE, WI 53508 STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JON_JAECK @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0611-211-8691-0 TOWN OF PLEASANT SPRINGS 21 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2479 GLENN DR <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> C-1 Commercial 18.8 Description:BANQUET HALL BUILDING B 318-Amusement Park <br /> District <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2016-00393 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10989 <br /> ® YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES ® NO ❑ YES 0 NO ❑ YES ® NO EC2016-0387 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3375 <br /> 31 Sq.Ft. Sq.Ft.3375 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $200,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $600.00 <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 <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 1G, • URE: •wner/Age t 6 •TE: <br /> Ordinances.Any unauthorized change from the information or , ./ ■ <br /> plans submitted will invalidate the permit. �-�I�`► / ,/a/g9/40 <br /> OFFICE ISE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12/29/2016 HJ H 3 <br /> ❑ YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 430 Zy- <br />