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DANE COUNTY ZONING PERMIT DCPZGPERMI-00701 Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MICHAEL J NORTHWOOD (608) 212-7707 Primetime Construction LLC (608) 513-7618 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5177 CUBA VALLEY RD N7772 County Highway N <br /> (City,State,Zip) (City,State,Zip) <br /> WAUNAKEE, WI 53597 New Glarus, WI 53574 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Mnorth29 @yahoo.com keithandkell?@tds.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0909-352-8001-0 TOWN OF VIENNA 35 NW NE <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 5177 CUBA VALLEY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 09760 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 2.890 Description:60 x 40 detached garage no sanitary fixtures 438- Garage <br /> District <br /> Category ® Residential 0 Commercial U Agricultural SEWER SANITARY PERMIT NO <br /> Other. Private No fixtures allowed <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> C-Town Road 7891 <br /> D YES Ei 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 /> 24 2400 <br /> Sq.Ft. Sq.Ft.2400 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $32,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $230.00 <br /> I, the undersigned, am the owner of the prop-rty or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be pe ormed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply wi Ih the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of t is permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for comu lying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. 1A/z. lands that are not associated with open water can be <br /> difficult to identify. Failure to comply may re-ult 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 D-partment of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitter 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 IpNATURE: Owner/A.ent DATE: <br /> Ordinances.Any unauthorized change from the information or '` ..• <br /> plans submitted will invalidate the permit. I 1 .........A\ V <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ii YES ® NO 09/03/2015 SCW1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initi (I I45 . '—' <br />