Laserfiche WebLink
Dane County Shoreland Zoning Zoning office use only <br /> Permit Application Shoreland Permit#:DCPSHL- <br /> Application must be made in person Zoning Permit#DCPZP- - <br /> Shoreland Zoning Permit fee is$150 <br /> A shoreland zoning Permit will be required prior to a general zoning permit being issued by the Dane County <br /> Zoning Division for any development within the shoreland district. <br /> Property Owner Information Agent Information <br /> Name Agent Name <br /> James Lugge Recreational Concepts Inc <br /> Address Agent Address <br /> 2097 River Estates Lane 121 N Main St <br /> City,State,Zip Stoughton WI 53589 City,State,Zp Oregon WI 53575 <br /> Phone 847-561-3113 Agent Phone 608-835-2780 <br /> E-Mail, - Agent E-mail <br /> �lugg13 @gmail,com recconinc @ymail.com <br /> Property/Location Information (http:/laccessdane.co.dane.wi.us) <br /> Property Address Town/Section Acreage <br /> 2097 River Estates Lane ''A �.% 2.314 <br /> Parcel Number(s) Zoning District <br /> 046/0611-291-8460-2 R-1 <br /> CSM Lot Subdivision Block/Lot <br /> Project Description <br /> In-ground swimming pool 20' x 44' and 1160 sq. ft. concrete perimeter around pool. <br /> Please answer the following questions to the best of your ability: <br /> Is the property within 300 feet of a stream or 1000 feet from a pond or lake? B Yes ❑No ❑Don't Know <br /> Is there a wetland or floodplain on or near the property? ❑ Yes ❑No B Don't Know <br /> Is this project associated with a recent rezone/CUP/variance? BNo If yes, petition/appeal# <br /> • <br /> Is this permit to correct a violation? ❑ Yes BNo <br /> Have you contacted the Dane County Land and Water Resources Department about this project? ❑Yes 01*b <br /> Most applications must be accompanied by a survey showing the following: <br /> ❑ Property lines with dimensions <br /> o All existing structures Permit Fee due at time of application <br /> o Any proposed structures Please have cash or check payment available <br /> ca <br /> impervious surfaces at time of application submittal. Checks are <br /> o All vegetative areas payable to Dane County Zoning. The fee for <br /> ❑ Ordinary High Water Mark a shoreland zoning permit is $150.00 and is <br /> ❑ Topographic data(2-foot contours) non-refundable. <br /> I,the undersigned,hereby make application fora shoreland zoning,permit and certify to the accuracy of the"information_ I <br /> further certify I am the=property owner;or a duly authorized representative,and may sign this permit application on the <br /> behalf of the owner*of said ro� Y- <br /> Applicant t signature: Date: a so e <br /> H:\Zoning\Shoreland-Wetland Zoning\Chapter 11 Forms\DCPSHL Application.docx Version 1.1 Created 12272013 <br />