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DCPSHL-2017-00068
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DCPSHL-2017-00068
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DCPSHL-2017-00068
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ZONING-2017 NO. Page 1 of 2 <br /> DANE COUNTY SHORELAND ZONING PERMIT <br /> DCPSHL-2017-00068 <br /> OWNER INFORMATION AGENT CONTRACTOR INFORMATION <br /> OWNER NAME PHONE '' AGENT/CONTRACTOR NAME PHONE <br /> JAMES S LUGGE (847)561-3113 RECREATIONAL CONCEPTS INC (608)835-2780 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2097 RIVER ESTATES LN 121 N MAIN ST <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 OREGON,WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JLUGG13 @GMAIL.COM RECCONINC @YMAIL_COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0611-291-8460-2 TOWN OF PLEASANT SPRINGS 29 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME .ST.TYPE <br /> (Assignment of rrew address is 2097 RIVER ESTATES LN <br /> subject to field verification.) <br /> LOT 'BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL SQ FOOTAGE PROPOSED PROJECT: New Str-ucture/Addition <br /> R-1 Residence 80082 Description:20 X 40 INGROUND POOL <br /> District <br /> PROJECT INFORMATION App fora Residential Stricture; SEWER <br /> Septic <br /> REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> 1390 <br /> YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND <br /> YES ❑ NO 0 YES ® NO 0 YES ® NO <br /> Existing Impervious Proposed Impervious <br /> Sq.FL 6844 Sq.Ft.7644 <br /> Setback from Ordinary High Water Mark Water Body Name <br /> 150 YAHARA RIVER PERMIT FEE <br /> $150.00 <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 SIGNATURE:Owner/A.1 nt DA <br /> Ordinances.Any unauthorized change from the information or N <br /> plans submitted will invalidate the permit. <br /> ILL <br /> OFFICE USE ONLY (form version 01.01.00} <br /> DATE ISSUED INITIALS INSPECTION DATE INiIIALS <br /> 09/11/2017 HJH3 <br /> DATE REVIEWED INrrIALS <br />
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