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DANE COUNTY ZONING PERMIT DCPZP 2015700905 Page 1 oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JANICE M PECKHAM (608)575-9459 Matt Ace (608)219-9860 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3651 OLD STAGE RD 3651 Old Stage Road <br /> (City,State,Zip) (City;State,Zip) <br /> BROOKLYN,WI 53521 Brooklyn,WI 53521 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jpeckham31@sbcglobal.net mattace @sbcglobal.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0510-352-9010-4 TOWN OF RUTLAND <br /> 35 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3651 OLD STAGE RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 09060 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-4 Rural Homes 31.62 Description:48'x 42'x 24'hay,equip stor shed 329-Other <br /> District <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Othe Private <br /> r. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 7234 7 <br /> j' ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES IS NO ❑ YES NO EC2015-0426 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 2016 <br /> 24 Sq.Ft. Sq.Ft.2016 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $3,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $201.20 <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> 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 SIGNATU' : O . 'r/• ent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> �/� <br /> plans submitted will invalidate the permit. �/ v // 1/ <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/09/2015 RLB <br /> •/i S ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials.d/�� II- , ^ /}is j/tiR <br />