Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2016-00017 p.,,1 of2 <br /> OWNER INFORMATION I AGENT/CONTRACTOR I,`.IFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SAFEGUARD STORAGE OF WISCONSIN(IC (608)838-7602 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number,Street) <br /> 3164 LUDS LN <br /> (City,Stale.Zip) (City.Stab.ZIP) <br /> MCFARLAND,WI 53558 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> micniebuhr @aoi.com <br /> SECTION 1/4 114 1/4 <br /> 0711-302-9160-0 TOWN OF COTTAGE GROVE 30 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3164 LUDS LN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 11164 <br /> ZONING DISTRICT PARCEL ACREAGE -PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> C-2 Commercial Description:30'x 10'x 10'Comm stor shed 328-Other Non-Residential <br /> District _ <br /> Category ❑ Reskbntlal m Commerdel ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road DCPREZ-2006-09465 0 YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO <br /> HEIGHT(In Fast) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 10 Sq.FL sq.Ft.300 300 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 9rd FLOOR $8,000.00 <br /> 1 • Sq.FL Sq.Ft. PERMIT FEE <br /> $216.00 <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 I. <br /> other penalties or costs. For more information,visit the Department of Natural Resources web pa. <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 inspect. - <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNp - T1A:: t DATE: <br /> Ordinances.Any unauthorized change from the Information or <br /> plans submitted will Invalidate the permit. /2 ` /� '9- <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS let INSPECTION DATE INITIALS <br /> 0 ® NO DATE 01/2812018 RLB <br /> REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> In UaIs:\r <br />