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• <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pagelof2 <br /> DCPZP-2015-00131 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ROBERT J KLASSY (608)576-1126 <br /> BILLING ADDRESS(Number,Street) �i <br /> 6396 COUNTY HIGHWAY A ADDRESS(Number,Street) <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE,WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> RJKLASSY @HOTMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 • <br /> 0508-142-8070-3 TOWN OF MONTROSE 14 NW NE . <br /> • <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1078 STATE HIGHWAY 69 <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 7.8 Description:AGRICULTURAL POLE SHED 60 X 90 328-Other Non-Residential <br /> District <br /> Category 0 Residential O Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. _ 4'ARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway <br /> ❑ YES ® NO <br /> SHORE ND FLOO ZONE WET D EC/SW NO. <br /> YES tia-1 NO YES 42k NO YES 14 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 20 5400 <br /> Sq.Ft. Sq.Ft.5400 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $30,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FE — <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&!.gent hereby agree to comply with all Dane Coun NATURE: Oyyyyner/A nt ATE: <br /> plans submitted Any will invalidate the from the Information or t � �� / �/_ <br /> plans submitted will invalidate the pernit. '�`— <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> YES ® NO 03/27/2015 HJH3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> i _ ii G - /-5 P 'i <br />