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DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page iof2 <br /> DC PZP-2015-00265 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> HENRY LAND LLC (608)846-4112 <br /> BILLING ADDRESS(Number,Street) <br /> ADDRESS(Number,Street) <br /> 7794 PATTON RD <br /> (City,State,Zip) (City,State,Zip) ' <br /> DANE,WI 53529 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> joe@henryfarmslIc.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0909-033-8500-4 TOWN OF VIENNA 3 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is i 7796 PATTON RD <br /> subject to field verification.) <br /> LOT BLOCK I 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-B Ag-Business 3 Description:40x40 ag storage budding leiemfi-) 329-Other <br /> District / <br /> ;, <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Private <br /> ROAD CLASSIFICATION REZONE NO.. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10041 <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE I WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ ES ! ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 22 Sq.Ft. Sq.Ft. 1600 1600 <br /> i PROJECT COST <br /> NO.OF STORIES I 2nd FLOOR 3rd FLOOR $25,000.00 <br /> 1 Sq Ft. Sq.Ft. PERMIT FEE <br /> $250.00 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provi$ion 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 cntact the Department of Natural Resources Service Center. <br /> I hereby consent to the eitryt',on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining pompliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply!:with all Dane County SIGNA`URE' 0 wnertAgent/If // L. DATE' <br /> Ordinances.Any unauthorized change from the information or / <br /> plans submitted will invalidate the permit. // I .i /' <br /> I11..,.. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITI 4 1st IN PECTION DATE INITIALS <br /> IV Y ® NO I 05/04/2015 SJW3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: .11.& <br /> F <br />