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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2015-00727 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> OUTHOUSE FARM LLC (608) 835-5689 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5142 COUNTY HIGHWAY A <br /> (City.State,Zip) (City,State,Zip) <br /> OREGON, WI 53575-2708 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> OUTHOUSEFARMLLC @CHARTER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-231-9000-5 TOWN OF OREGON 23 NE SW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is 5132 COUNTY HIGHWAY A <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 40 Description 34'X 66'SWINE BARN 329- Other <br /> District <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> El Other. BUILDING Private <br /> r <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> B-County Highway <br /> 0 YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> El YES ® NO ❑ YES 0 NO YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 2244 <br /> 15 Sq.Ft Sq.Ft.2244 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $42,000.00 <br /> 1 Sq.Ft Sq.Ft. 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 <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&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. WI W- <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/11/2015 PMK2 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />