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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2014-00903 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME <br /> STEVEN R LAGMAN (608) 212-0104 MORTON BUILDINGS 6HON <br /> BILLING ADDRESS(Number,Street) 608-55 <br /> 74-662 <br /> 3039 HARTWICKE DR ADDRESS(Number,Street) <br /> 411 E LEFFLER <br /> (City,State,Zip) <br /> FITCHBURG, WI 53711 (City,State,Zip) <br /> DODGEVILLE, WI 53533 I <br /> E-MAIL ADDRESS — <br /> man E-MAIL ADDRESS <br /> steve.la <br /> g @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 <br /> 0610-182-8500-7 '/4 '/a <br /> TOWN OF DUNN 18 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION <br /> STREET NAME ST TYPE <br /> (Assignment of new address is 2589 LALOR RD <br /> subject to field verification. <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING <br /> ZONIN DISTRICT PARCEL ACREAGE <br /> G <br /> Exclusive Ag 38 PROPOSED PROJECT: New Structure/Addition <br /> Description:agriculture building CENSUS CODE <br /> District 328- Other Non-Residential <br /> Category ❑ Residential ❑ Commercial <br /> 0 Agricultural SEWER SANITARY PERMIT NO <br /> El otner: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. <br /> C-Town Road VARIANCE NO DEED RESTRICTION <br /> ❑ YES 0 NO <br /> SHORELAND <br /> FLOOD ZONE WETLAND EC/SW NO <br /> ❑ YES 0 NO ❑ YES 0 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT <br /> 1st FLOOR TOTAL SQUARE FEET <br /> 18'-6" Sq.Ft. 960 <br /> Sq.Ft.960 <br /> NO.OF STORIES PROJECT COST <br /> 2nd FLOOR 3rd FLOOR $44,000.00 <br /> 1 <br /> Sq.Ft. Sq. Ft. PERMIT FEE <br /> $122.00 <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 <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 8 Agent hereby agree to comply with all Dane County <br /> Ordinances.Any unauthorized change from the information r SIGNE: Ow DATE: �. <br /> plans submitted will invalidate the permit. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS <br /> 12/03/2014 1st INSPECTION DATE INITIALS <br /> ❑ YES ® NO DATE REVIEWED INITIALS SSA1 <br /> Initials: <br /> 2nd INSPECTION DATE INITIALS <br />