Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> DCPZP-2018-00322 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DEAN PENNEKAMP (608)220-5090 JUSTIN SCHMITT (608)215-8276 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1126 PLANTZ RD 316 N ATWOOD LN <br /> (City,State,Zip) (City,State,Zip) <br /> DEERFIELD, WI 53531 DEERFIELD, WI 53531 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SCHMITTBLDRS @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0812-324-9050-0 TOWN OF MEDINA 32 SE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1126 PLANTZ RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 10949 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 2.161 Description:40'X48'RESIDENTIAL STORAGE SHED 329 - Other <br /> District <br /> Category ® Residential 0 Commercial 0 Agricultural SEWER SANITARY PERMIT NO. <br /> 0 Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> 0 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ā‘ YES ® NO 0 YES NO NO ā‘ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1920 <br /> 20'6" Sq.Ft. Sq.Ft. 1920 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $40,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $194.00 <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 SI rr < \ iiii, : Owner/A DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. PI 7ā€” Z pā€” a 0 <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/02/2018 SLJ3 <br /> ® YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:a-`M j 7f./(% $1,5 <br />