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DANE COUNTY ZONING PERMIT DCPZP 2015-00541 Page 1 oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MARK W GOTTSCHALK (608)209-0509 Ultimate Construction (608)825-4633 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5268 COUNTY HIGHWAY TT 4827 Pierceville Road <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL, WI 53559 Cottage Grove, WI 53527 'r <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> saf @ultusa.biz <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-261-8001-9 TOWN OF SUN PRAIRIE 26 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 5274 COUNTY HIGHWAY TT <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Ex Exclusive Ag Description:120'x 40'x 22'calf barn 328-Other Non-Residential <br /> District <br /> Category I] Residential ❑ Commercial ® Agricultural SEWER <br /> SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway 2895 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 0 NO 0 YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 22 Sq.Ft. Sq.Ft.4800 4800 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $61,000.00 <br /> 1 Sq.Ft. Sq.Ft. <br /> PERMIT FEE <br /> $0.00 <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 SIG ' : Own: • ,ent /� DAT • <br /> Ordinances.Any unauthorized change from the information or �♦��� ' ( _ /� 1.6 <br /> plans submitted will invalidate the permit. r i_I1 /, <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1 1SPECTION DATE INITIALS <br /> 40, ES ® NO 07/20/2015 RLB <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials 40 <br /> i' <br />