Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2015-00220 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WILLIAM E KORTTE (eQ - 835- 7s?cy <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4269 RUTLAND-DUNN TOWN LINE RD <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-051-8501-6 TOWN OF RUTLAND 5 NE NW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4269 RUTLAND-DUNN TOWN LINE RD <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 /> RH-1 Rural Homes Description:30x54 agricultural shed 329-Other <br /> District 1 <br /> Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> D YES ® NO <br /> • <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR f Go?.0 TOTAL SQUARE FEET /GC/(3 <br /> 1600 <br /> 16 Sq.Ft. Sq.Ft. 1600 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $16,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $170.00 <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/Agen DATE: <br /> Ordinances.Any unauthorized change from the information or (y6�� �G <br /> plans submitted will invalidate the permit. .0-4 62,44e1f40/S <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/28/2015 R W L 1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS //// 2nd INSPECTION DATE INITIALS <br /> Initials: 4N 9 <br />