Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2015-00522 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ARNOLD HARRIS (608) 798-4835 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3427 COUN—Y HIGHWAY P <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> arnoldharris@tds.net <br /> PARC EL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0707-342-8920-0 TOWN OF CROSS PLAINS 34 NW NW <br /> PROPERTY AC DRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3427 COUNTY HIGHWAY P <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRIC PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Ex Exclusive Ag 2.34 Description:25x20 detached residential garage 328-Other Non-Residential <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Private <br /> ROAD CLASSIFIC4TION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Fighvay <br /> ❑ YES Ea NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES la NO ❑ YES ® NO O YES I1 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 500 <br /> 10 Sq.Ft. Sq.Ft.500 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $13,348.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $87.50 <br /> I, the uncle's gned, 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 wwwi.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 IGNATURE: OwnerlAgent DATE: <br /> Ordinances.Any unauthorized change from the information or r' <br /> plans submitted will invalidate the permit. <br /> �1 UL/ /XI 23 (c <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIPED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/14/2015 SJ W 3 <br /> /� <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: Ai/ 1 i� <br />