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DANE COUNTY SHORELAND ZONING PERMIT ZONING PERMIT O. Page 1 of 2 <br /> DCPSHL-2017-00072 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CHAD TROY (608) 575-1199 PETE MANLEY REMODELING LLC (608)206-7205 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2744 ALICE CIR 341 W MCKINLEY ST <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PETE @PETEMANLEYREMODELING.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0611-321-4899-4 TOWN OF PLEASANT SPRINGS 32 NE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1728 OAKVI EW DR <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 29 OAK KNOLL <br /> ZONING DISTRICT PARCEL SQ FOOTAGE `° 77. <br /> PROPOSED PROJECT: Alteration to existing building t <br /> R-2 Residence 14726 Description:SFR ADDITION W/DECKS <br /> District mss' <br /> PROJECT INFORMATION App for a Residential Structure; SEWER ' a $ <br /> Sewer w , <br /> REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> 1603 <br /> YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND ',- <br /> ® YES 0 NO 0 YES ® NO 0 YES ® NO <br /> Existing Impervious Proposed Impervious 3 x ,* :. <br /> Sq.Ft. 1510 Sq.Ft.2035 € �° <br /> x <br /> Setback from Ordinary High Water Mark Water Body Name :P r -- <br /> t °� PERMIT FEE <br /> 240 YAHARA RIVER : - - $150.00 <br /> 1 ' u <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 SIG /'� t y.z ; w ikii,x <br /> Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit. l <br /> OFFICE USE ONLY (form versior.01.01.00) <br /> DATE ISSUED INITIALS INSPECTION DATE INITIALS <br /> 09/15/2017 HJH3 <br /> DATE REVIEWED INITIALS <br />