Laserfiche WebLink
DANE COUNTY- NING PERMIT ��7��miylim;PFFt{ri T t/.�tt�{a�� t ;tn . at 2 <br /> tUl%, kIN-- L,,IIf It 1:1 ( ayE"'IT it..i2,1T RAC TORINFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GENES DIFFUSION INC (608)449-6690 DAVID AIDE (608) 449-6690 <br /> BILUNG ADDRESS(Number,Street) ADDRESS(Number.Street) <br /> PO BOX 930457 1589 HAMMEN RD <br /> (City,State Zip) (City,State,Zip) <br /> VERONA, WI 53593 . EDGERTON, WI 53534 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AIDEL@LITEWIRE.NET AIDEL@LITEWI RE,NET <br /> SECTION 1/4 1/41/4 <br /> 0511-014-9001-2 TOWN OF DUNKIRK 1 SE SW <br /> I i #FUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 510 US HIGHWAY 51 <br /> subject to Reid verification.) <br /> LOT ,BLOCK C.S.M.NO.or MAT NAME <br /> I METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New StructurelAddition CENSUS CODE <br /> A-1 Ex Exclusive Ag 40 Description:replacing existing shed 329- Other <br /> District <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C,U.P.NO. VARIANCE NO, DEED RESTRICTION <br /> A-US or State Highway <br /> _ _ O YES a NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES 0 NO ❑ YES 0 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 2176 <br /> 18 Sq.Ft. Sq.Ft.2176 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 529,600.00 <br /> 1 Sq.Ft. Sq Ft PERMIT FEE <br /> S213.20 <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 <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 zo ng ordinances. <br /> °wtwr 3 Agent h.roby area to carnply with elI Dart.County SI r •TURE: �r!• . -� t DATE: <br /> Ordinances.Any unauthorized change from the Information or T <br /> Piens submitted will Invalidate the permit. ♦ /— b <br /> of t u t ti:5t-(ItNl.tt (form version 03.00.07) <br /> SURVEY REQUIRED T DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/3Ct2015 SSA1 <br /> ❑ YES CD NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />