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ZONING PERMI <br /> DANE COUNTY ZONING PERMIT DCPZP-2021-00346 Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WILLIAM T AND DIANE L CALLAHAN (217)306-5091 MITCH SPRECHER (608) 225-6524 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 355 E RAYLOTS ST 7594 SPRUCE VALLEY DRIVE <br /> (City,State,Zip) (City,Slate,Zip) <br /> SPAULDING, IL 62561 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> badbill56@yahoo.com mcsprecher@gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0510-093-8680-0 TOWN OF RUTLAND 9 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1168 SUNRISE RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 15319 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RM-16 Rural Mixed- 29.00 Description:new hone 101 - SFR (detached) <br /> Use District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> p Other: Private 13-2021-00155 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED ESTRICTION <br /> C-Town Road YES ,NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES ® NO 0 YES © NO ❑ YES ca NO EC2021 0018 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6130 <br /> 23.2 Sq.Ft.2350 Sq.Ft.3780 <br /> PROJECT COST <br /> NO,OF STORIES 2nd FLOOR 3rd FLOOR $425,000.00 <br /> 1 Sq.Ft, Sq.Ft. PERMIT FEE <br /> $663.00 <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• -nt DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. AL./.. '�=`" 6-22-21 <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/21/2021 SSA1 <br /> El YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 7 G r ;_I r.k+{r, <br />