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t <br /> i <br /> DANE COUNTY, WISCONSIN <br /> . //�. <br /> P APPLICATION FOR: ZONING PERMIT PERMIT# : 1390-205 <br /> ,CEL NUMBER MUNICIPALITY SEC 1/4 of 1/4 <br /> /81226485000 Town of Medina 26 NW SE <br /> At <br /> 'PROPERTY ADDRESS : 5138 TOWER LINE RD <br /> (Assignment of new address is subject to field verification) <br /> Lot : Block: Plat : METES AND BOUNDS <br /> CSM# : Parcel area : 40 AC Old PMT# : Census cd: 101 <br /> Proposed use : Single Family Res New: Exclusive Agricultural <br /> SFR NO DECK, NO GARAGE . <br /> Sewer: Private County P#rmit# 480333 Zoning District : A-1EX <br /> Road Classification: C Road right-of-way Width: 66 <br /> Conditional use permit # : 0 Variance : <br /> Shoreland: N Floodzone : N Wetland: <br /> Sq ft . area Basment : 1380 1st . 1380 2nd. 640 Total 3400 <br /> Dimensions : 30 . 000 X 46 . 000 Stories : 2 Feet : 24 . 000 <br /> Project cost : 162 , 500 Permit Fee : 305 . 00 Sq ft area : 2760 . 000 <br /> OWNER and AGENT hereby agree to comply with all WISCONSIN County <br /> ordianances . Any unauthorized change from the information or plans submitted <br /> will invalidate the permit . <br /> OWNER: AGENT: <br /> ROSS BROWN STANLEY KRUEGER <br /> 5138 TOWER LINE RD 221 PARK ST P 0 BOX 74 <br /> MARSHALL WI 53559 MARSHALL WI 53559 <br /> 608-655-4965 608-655-3656 <br /> SIGNATURE: Owner/Agent 14 <br /> Rural address # : N Post required: N Installed: 11/10/2005 <br /> Issued : 11/10/2005 By: CHS Reviewed: / / By: <br /> 1st inspection: / / 7 /Zc_ok By: t-6 Setback:✓ L yd:P"'--/ <br /> 2nd inspection: 4 / 2 /2.0/6 By: 15 R yd: . Rear:✓ <br /> 0 I c rY frkf_2,d.5 4, ,,,,„ ‘„ ( 0 r 04--6-,-, 0 I:- (4 t- <br /> 1� � � Ole 0 , <br /> -�GA <br /> r. IUD x <br />