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DANE COUNTY ZONING PERMIT ZONING PERMIT WI. Page'I of 2 .:, <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> Russ Christian (608)437-6738 <br /> BILLING ADDRESS(wvm»er.Street) ADDRESS(Number Street) <br /> 9916 Greenwold Rd., <br /> (City,State,Z(m City Stole Zip) <br /> Mt. Horeb, WI 53592 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dc@mhtcoot <br /> PARCEL NO. � - TOWNSHIP SECTION 1w 114 trrt <br /> 26 NW NE <br /> 0706-262-8000-2 TOWN OFVERMONT <br /> -�� -- ---- <br /> PROPERTY ADDRESS HOUSE NO ST DIRECTION STREET NAME ST TYPE <br /> (Assignment"f new address/, 9918 Greenwald Rd <br /> subject,o field.".mnm(o".) <br /> LOT BLOCK cvm NO or Pt AT NAME <br /> 1 CSM 02397 <br /> , <br /> ZONING DISTRICT `PARCEL ACREAGE PROPOSED PROJECT New Structure/Addition CENSUS CODE <br /> A-1Ex Exclusive Ag 11 286 o°sc"p.=",no accessory umn 328-Other Non-Residential <br /> District <br /> Category O nes^demtai Oo"mme'e(a/ <br /> SANITARY PERMIT NO <br /> Private nn�x1urosa <br /> allowed <br /> O Other: .,a/ aewen <br /> ROAD CLASSIFICATION REZONE NO c.0 eNO. VARIANCE NO DEED RESTRICTION <br /> C-Town Road O ,sa 0 NO <br /> o*oxs�mo FLOOD WETLAND soawwu <br /> [] YES CZ) NO [] YES [Q NO [] YES 0 NC <br /> HEIGHT(In Feet) EASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3465 <br /> 18 so Ft on Ft 3465 <br /> � �30 <br /> PROJECT <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR .00000 <br /> PERMIT FEE <br /> 1 an F. «n r' <br /> $619.75 <br /> |^ the undersigned, am the owner [d the property oron8uth0dzoda8entacdngon behalf of the 0v/Oerof <br /> the property, | Ce�if» that the vvo[kt0bepedbrnned. a8p8� of this zoning perD0it. VvU} be constructed aS <br /> noted on the' submitted d p|8RS 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 essoCiaiadVVithopen vv@tSrcan b8dif�CU|1 <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 /> ' <br /> Owner& DATE:Ordinances.Any Agent 'mvnmu�a�pommmwinmrm��^o' -� 2 �� �0// <br /> �onsovom/o=uwui�axwmmmep�mu ��—'��'�v� �^�- - /�'�^z—^~-�-- — :it~~'/ ~ �� <br /> OFFICE "'� ' ��`' '� version 03.01.00) <br /> DATE INITIALS 1m/wSpeormmows INITIALS <br /> SURVEY REQUIRED neouzo/m SON I <br /> [] <br /> YES 0 NO umsesv/evso /m/ra/s Tiid INSPECTION DATE INI TIALS <br /> C <br /> /nn�s ��L_ / v <br /> _ | �o <br /> _ __ � \� \ -- - ___� -� __ -_- - <br /> Ltt � ` \ -� <br /> °-~..,~ <br /> , ' <br />