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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2015-00514 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ENCHANTED VALLEY ACRES LLC/CHRIS KIRSCH (608) 224-9246 <br /> BILLING ADDRESo(Number,Street) ADDRESS(Number,Street) <br /> 1224 S VAN BUREN ST <br /> (City,State,Zip) (City,State,Zip) <br /> BLACK RIVER FALLS, WI 54615 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> christop.kirsch(pg mai I.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0807-362-8170-2 TOWN OF BERRY 36 NW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 5047 ENCHANTED VALLEY RD <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 136 Description:decks&ramps 329-Other <br /> District <br /> Category [ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> [ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> C-Town Road 2239 0 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 788 <br /> 7,-6„ Sq.Ft. Sq.Ft. <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $10,000.00 <br /> Sq.Ft. Sq.Ft. PERMIT FEE • <br /> $109.10 <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 SIG E: Owner/A•ent DATE: <br /> Ordinances.Any unauthorized change from the information or C�`(/ <br /> plans submitted will invalidate the permit. r7—I6 ^/ <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> n ® NO EW 0/2015 SSA1 <br /> DATE REVIEW D INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:( 1 1 t �` <br />