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DANE COUNTY ZONING PERMIT DCPZP 2015-00496 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAMES 0 NOTSTAD CLEARY BUILDINGS CORP (608) 845-9700 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5217 TONYAWATHA TRL 190 PAOLI ST <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53716 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DZEAL @CLEARYBUILDING.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0612-283-8501-0 TOWN OF,CHRISTIANA 28 SW NW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is q96 t /(X/_' <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-1 Ex Exclusive Ag 39.2 Description:REPLACE EXISTING FARM ACCESSORY BUILDING 328-Other Non-Residential <br /> District WITH 42 X 56 FARM STORAGE BUILDING <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Private <br /> Other <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> 0 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 0 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 22.66 Sq.Ft. Sq.Ft.2352 <br /> 2352 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $98,500.00 <br /> 1 Sq.Ft. Sq.Ft PERMIT FEE <br /> $226.40 <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 SIGNATUR : Ow - • - DATE: <br /> Ordinances.Any unauthorized change from the information or �y/mil <br /> plans submitted will invalidate the permit. L/ <br /> OFFICE USE 001..N (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS l 1st INSPECTION DATE INITIALS <br /> 7 07/06/2015 HJH3 <br /> J YES a NO DATE REVIEWED <br /> INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:Mk, <br />