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2-0l9-oob-ra <br /> DANE COUNTY ZONING PERMIT DCPZP-2015-00222 Page 1of2 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME ' PHONE AGENT/CONTRACTOR NAME PHONE <br /> G & N LAND HOLDINGS LLC (608) 509-8904 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1471 US HIGHWAY 51 <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> info @stoughtongardencenter.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-011-9801-9. TOWN OF RUTLAND 1 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1457 OAK OPENING DR <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 1 CSM 08144 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> C-2 Commercial 2.54 Description: ( `'� 327- Stores <br /> District 7] 1 A i �'c\lr- lk 0 US <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> ❑ Other: <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> eed 6179/4520 ❑ YES la NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO Vii <br /> HEIGHT(In Feet) C'f BASEMENT 1st FLOOR 3 co 0 0- /- TOTAL SQUARE FEET <br /> / Sq.Ft. S .Ft. 3�� <br /> ` t4.— PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $142,300.00 <br /> I Sq.Ft. Sq.Ft. PERMIT FEE <br /> $485.00 <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 SI NAT RE: Owner/Agent DATE' <br /> Ordinances.Any unauthorized change from the information or (/� <br /> plans submitted will invalidate the permit. .41,-;.41,-;. _ O T 4(7/S <br /> OFFICE USE ONLi (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/28/2015 SC W 1 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:/\ AQ' </- 3t`1-- /s P ilsi '< <br />