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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. f ;, <br /> DCPZP-2014-00908 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> PEPPER RIDGE FARMS LLC (608)454-5382 Cleary Building Corporation (608) 770-0325 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 7454 BITNEY RD N6256 Blarney Stone <br /> (City,State,Zip) (City,State,Zip) <br /> LODI, WI 53555 Albany, WI 53502 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dzeal @clearybuilding.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 •/c 1 <br /> 0908-183-8000-0 TOWN OF DANE 18 SW NE <br /> ■ <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST. tYPE —' <br /> (Assignment of new address is <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:135'x 54'x 29'machine/hay stor shed 328 -Other Non-Residential <br /> District -`Q1 <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> Other: <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DELL)RLSTRI:T ON <br /> C-Town Road <br /> Ei YES <br /> S <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO O YES NO ii YES 11 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEE) <br /> 0 sAn <br /> 29 Sq.Ft. Sq.Ft. 90 01:7 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $84,000.00 <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 f::eell;re <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and sunj- r;t� <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 ordin -s. <br /> Ail _ -- <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU r •• DATE: - ,ier <br /> Ordinances.Any unauthorized change from the information o • ` i <br /> plans submitted will invalidate the permit. G /i <br /> . , // .`� ,1 / <br /> OFFICE USE ONLY (form version 03.00.00 <br /> SURVEY REQ -ED? i DATE ISSUED I IALS 1st INSPECTION DATE INITIALS <br /> 12/05/2014 RLB <br /> of ES 117 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initial <br /> Of , <br />