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ZONING PERMIT NO. Page 1 of t <br /> DANE COUNTY ZONING PERMIT DCPZP-2021-00301 <br /> OWNER INFORMATIONAGENT/CONTRACTOR INFORMATION <br /> • <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> LESLIE W PARR (608)225-1917 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 899 COUNTY HIGHWAY JG <br /> (City.State,Zip) (City,State.Zip) <br /> MT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HORIZONFARM1 @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION tia 1/4 114 <br /> 0506-133-9540-7 TOWN OF PERRY 13 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 899 COUNTY HIGHWAY JG <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: Alteration to existing building CENSUS CODE <br /> RR-2 Rural 18.7 Description:30'X 20'GARAGE ADDITION 438 - Garage <br /> Residential District <br /> Catepery 21 Residential ❑ Commerc ai ❑ Agricuitu:aI SEWER SANITARY PERMIT NO. <br /> Private <br /> O Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO, VARIANCE NO. DEED RESTRICTION <br /> B-County Highway D YES 0 NO <br /> 'SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES i3 NO El YES ca NO <br /> HEIGHT(in Feet) BASEMENT. 1st FLOOR TOTAL SQUARE FEET <br /> 600 <br /> 19 Sq Ft. Sq.Ft.600 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $20,000.00 <br /> 1 Sq.Ft Sq.Ft PERMIT FEE <br /> S1 10.00 <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.usor 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 SIGNATI IRE: Owner/AgeDATE: <br /> Ordinances.Any unauthorized change from the information or ' ,i , I_ , , ' <br /> plans submitted will invalidate the permit. /Z .. >C <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED% CI, E ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06i01"2021 PMK2 <br /> I YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> I ti2', <br />