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DANE COUNTY ZONING PERMIT DCPZP 2015 00090 Page1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CORY K CLEMENS (608) 592-7417 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 7553 DUNROVEN RD 7553 DUNROVEN RD <br /> (City,State,Zip) (City,State,Zip) <br /> DANE, WI 53529 +f e_ <br /> ......... <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> corykori @merr.com <br /> PARCEL NO. TOWNSHIP •, 1/4 1/4 1/4 <br /> 0909-061-9100-0 TOWN OF VIENNA . E SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is 7857 DUN-0 N RD <br /> subject to field verification.) I <br /> LOT BLOCK C.S.M.NO.or PLAT NAME j\ <br /> 1 CSM 13764 <br /> ' <br /> ZONING DISTRICT PARCEL ACREAGE •ROPOSED PR '' CENSUS CODE <br /> LC-1 Limited 3.01 Description:building for vehicle storage-exavating eqw . 324 -Offices <br /> Commercial Dist <br /> Category 0 Residential ® Commerce- • Agricultural SEWER SANITARY PERMIT NO. <br /> Other. -rlvate 13-2015-00044 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10680 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO 0 YES ® NO (] YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7293 <br /> 24 Sq.Ft. Sq.Ft.7293 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $275,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $750.00 <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/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. �// / <br /> OFFICE USE.ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED IN-IALS 1st INSPECTION DATE INITIALS <br /> 03/11/2015 SSA1 <br /> ® YES 0 NO <br /> /+ DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: C_l� <br />