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DANE COUNTY ZONING PERMIT Page 1of2 <br /> DCPZP-2015-00123 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANIEL VIETH (608)279-9000 <br /> BILLING ADDRESS(Nu t r treet) D ESS(Number,Street) <br /> "" ?C <br /> iN , Mifte,z , I r�■y ± , <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53717 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dan@viethconsulting.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-193-9296-0 'a. Z�SQTOWN OF MIDDLETON 19 •S ill <br /> PROPERTY ADDRESS HOUSE 'O. ST.DIRECTION STREET NAME ST.TYPE . <br /> (Assignment of new address is 7892 W MINERAL POINT RD <br /> subject to field verification.) <br /> LOT S ` '02._ BLOCK C.S.M.NO.or PLAT NAME / 0 a v(90 <br /> r, Aryl <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ructure/Ad ition <br /> \ r CENSUS CODE <br /> A-1 Agriculture 1.99 Description:pole shed ,[ , 329-Other <br /> District s n <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 2880 <br /> e/ :O / Sq.Ft. Sq.Ft.2880 <br /> t PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $15,864.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $266.00 <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 SIGN•TU" Owner/Agen DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. ,_,,/ 3 — 2 5 - /5 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP IOli r•TE INITIALS <br /> 03/25/2015 SSA1 L <br /> ® YES NO DATE REVIEWED INITIALS 2nd INSP O i !T) INITIALS <br /> Initials: <br />