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DANE COUNTY ZONING PERMIT DCPZP 2017 00724 Page 1 oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MICHAEL P SHANLEY (309) 258-7590 UDVARI-SOLNER DESIGN (608) 233-1480 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 437 N MCCLURG CT 2631 UNIVERSITY AVE SUITE 104 <br /> (City,State,Zip) (City,State,Zip) <br /> CHICAGO, IL 60611 MADISON, WI 53705 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> mshanley57 @gmail.com design @udvari-solner.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0611-191-6112-8 TOWN OF PLEASANT SPRINGS 19 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2365 WILLIAMS POINT DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 62 WILLIAM'S POINT- <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-3 Residence .4 Description:new boat house 329- Other <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> ❑ Other: Public <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> D-Unadopted Subdiv Streets 336 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES ® NO O YES ® NO se2017-0323 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 448 <br /> 12 Sq.Ft. Sq.Ft.448 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $34,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $83.60 <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 SIGN• ••/Agent/ DAT <br /> / <br /> Ordinances.Any unauthorized change from the information or I//� / /� c;5 / <br /> plans submitted will invalidate the permit. <br /> OFFICE USE ONLY (form version 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/25/2017 SSA1 <br /> ® Y El NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />