Laserfiche WebLink
DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 oft <br /> DCPZP-2015-00413 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> LALOR ROAD LLC (608)852-5615 Randall P.Alexander (608)852-5615 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2935 S FISH HATCHERY RD UNIT 220 2797 Lalor Road <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53711 Oregon,WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0610-072-9000-3 TOWN OF DUNN 7 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2797 LALOR 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: Alteration to existing building CENSUS CODE <br /> A-1 Ex Exclusive Ag Description:66.66'x 36'x 30'two(2)story barn remodel w/sanitary 328-Other Non-Residential <br /> District fixture <br /> Category ❑ Residential fl Commercial 0 Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2015-00131 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES D NO ❑ YES ® NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 30 Sq.Ft. Sq.Ft.2300 <br /> 4600 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $50,000.00 <br /> 2 Sq.Ft.2300 Sq.Ft. PERMIT FEE <br /> $0.00 <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 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 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 .TURE: Owner/Age,t DATE: <br /> Ordinances.Any unauthorized change from the information or. , // (00//5 plans submitted will Invalidate the permit. <br /> O FICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED 'INITIALS 1st INSPECTION DATE INITIALS <br /> YES ® NO 06/12/2015 RLB <br /> \ , DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials <br />