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DANE COUNTY, WISCONSIN <br /> APPLICATION FOR: ZONING PERMIT PERMIT# : 688-204 <br /> PARCEL NUMBER MUNICIPALITY SEC 1/4 of 1/4 <br /> 080812283600 Town of Springfield 12 NE NW <br /> PROPERTY ADDRESS : 6470 STH 19 <br /> (Assignment of new address is subject to field verification) <br /> Lot : Block: Plat : <br /> CSM# : Parcel area: 0 . 83 AC Old PMT# : Census cd: 101 <br /> Proposed use : Single Family Res New: Exclusive Agricultural <br /> SFR <br /> Sewer: Private County Permit# 0 Zoning District : A-1EX <br /> Road Classification: A Road right-of-way Width: 66 <br /> Conditional use permit # : 0 Variance : <br /> Shoreland: NO Floodzone : NO Wetland: <br /> Sq ft . area Basment : 2012 1st . 3776 2nd. Total 5788 <br /> Dimensions : 60 . 000 X 85 . 000 Stories : 1 Feet : 0 . 000 <br /> Project cost : 227, 000 Permit Fee : 464 . 10 Sq ft area: 5100 . 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 /> NEIL BUCHNER NEIL BUCHNER <br /> 6470 STATE HIGHWAY 19 6470 STATE HIGHWAY 19 <br /> WAUNAKEE WI 53597 WAUNAKEE WI 53597 <br /> 846 . 3481 846 . 3481 <br /> SIGNATURE: Owner/Agent X [OalAp-c--- 74LeA,_ <br /> Rural address # : N Post required: N Installed: 06/24/2004 <br /> Issued: 06/24/2004 By: DJE Reviewed: 10 /C# /oq By: TE <br /> 1st inspection: +o / ( /oLi By: i2c Setback: ,— L yd: <br /> 2nd inspection: ,o /c /�,-, By:?a.-I R yd: -- Rear: -- <br />