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DANE COUNTY ZONING PERMIT DCPZP 20 5-00084 Page of <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KARL R DETTMANN Cleary Building Corp (608)845-9700 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 435 MATTERHORN DR PO Box 930220 <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 /� Verona, WI 53593 <br /> E-MAIL ADDRESS <br /> IO 1(J E-MAIL ADDRESS <br /> karldettmann @gmail.com jgunders @clearybuilding.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0707-15).9530-0 (Cross Plains I 15 <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 4200 County Highway P <br /> subject to field verification.) <br /> 0 707 1 c P- q /7 D 0 C.S.M.NO.or PLAT NAME <br /> `ZONING DISTRICT J PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Ex Exclusive Ag 81.06 Description:ag accessory building no sanitary fixtures 328-Other Non-Residential <br /> District <br /> Category ❑ Residential 0 Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> Private NA <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway p YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES a NO ID YES a NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4378 <br /> 18 Sq.Ft. Sq.Ft.4378 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $35,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $378.35 <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 TURE: Ow er/Agent DATE: <br /> plans <br /> Ordinances.Any unauthorized change from the information or SIG <br /> tans submitted will invalidate the permit. .1i 3- S-Zo 15. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP-"We eN DATE INITIALS <br /> 03/05/2015 SCW 1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />