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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page loi2 <br /> DCPZP-2021-00436 <br /> OWNER INFORMATION A(TENT!CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENTtCONTRACTOR NAME P=:^r;=_ <br /> STACEY RIEU (608)225-4287 <br /> BILLING ADDRESS(Number.Street) ADDRESS`Numte' Streetl <br /> 2279 DAHLK CIR <br /> (City,State Zip) IC,ty.State.Zip' <br /> VERONA, WI 53593 <br /> E-MAIL ADDRESS `E-MAIL ADDRESS <br /> STACEYRIEU@GMAIL.COM <br /> PARCEL NO TOWNSHIP SECTION 1 4 '4' <br /> 0607-243-9622-1 TOWN OF SPRINGDALE 24 SW SE <br /> PROPERTY ADDRESS HOUSE NO ST DIRECTION STREET NAME ST T'tPS <br /> (Assignment of new address is 2279 DAHLK CIR <br /> subject to field verification,) <br /> LOT BLOCK C S M NO or PLAT NAME <br /> 2 CSM 07784 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT New Structure./Addition CENSUS CODE <br /> RR-4 Rural 5.461 Descnpttcn.56'X 30'ACCESSORY BUILDING.WORKSHOP 329-Other <br /> Residential District <br /> Category ® Resrdenttal G Cornmetczat Q Agricultural SEWER SANITARY PERMIT NO <br /> p other <br /> Private <br /> 'ROAD CLASSIFICATION REZONE NO C.0 P NO. VARIANCE NO DEED RESTRICTION <br /> C-Town Road 2522 iii YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO <br /> o YES 0 NO 0 YES 0 NO 0 YES 0 •`.0 <br /> -.EIGHT On Feet) BASEMENT 1st FLOOR TOTAL SOJARE FEET <br /> 1680 <br /> 16 sq Ft_ sq Ft 1680 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $52,598.00 <br /> 1 sr,- *t Sq.Ft. PERMIT FEE <br /> 5218.00 <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/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <,. , <br /> plans submitted will invalidate the permit. 1.' 44/06si. 1 t7 �� <br /> '' <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED-, DATE ISSUED INITIALS tst INSPECTION DATE INITIALS <br /> 07,2912021 PRtK2 <br /> YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials. Sr <br />