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DANE COUNTY ZONING PERMIT OCPZP 2016-00152 Pale 1 oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> LANDMARK SERVICES COOPERATIVE (608)819-3117 Dutton Welding&Millwright Services (262)882-1500 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> PO BOX 277 W8895 Westbound Lane <br /> (City,State,Zip) (City.State,Zip) <br /> COTTAGE GROVE,WI 53527 Darien,WI 53114 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> mike.elder @Iandmark.coop jon @duttonwelding.com <br /> SECTION 1/4 1/41/4 <br /> 0711-163-9920-6 TOWN OF COTTAGE GROVE 16 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3977 COUNTY HIGHWAY N <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT CEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> C-2 Commercial Description:Remove&replace old grain bins,equipment,receiving 329-Other <br /> District bldg <br /> Category ❑ Residential ra Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway DCPREZ-1967-01147 ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES (a NO ❑ YES ❑ NO ❑ YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR 'TOTAL SQUARE FEET <br /> 2112 <br /> 164 Sq.Ft. Sq.R.21 12 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $2,700,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $5600.00 <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 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 SIGNA RE:Owner/Agent DATE: <br /> Ordinances.Any unauthorised change from the Information or /� <br /> plans submitted will invalidate the permit. v` I , 4/7/2016 <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS let INSPECTION DATE INIALS <br /> ® YES ❑ NO 04/07/2016 RLB <br /> ,,//y DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> MidalstX/'" e- <br />