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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> DCPZP-2016-00493 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ALLEN R WOLFE (920)763-2294 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 996 MULLER RD <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL,WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> a wolfe<jd7200jd @gmail.com> <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0912-081-8475-0 TOWN OF YORK 8 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7623 DEANSVILLE RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 12054 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-2 (2)Agriculture 3.5337 Description:100'x 60'x 30'farm shop 329-Other <br /> District <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road DCPREZ-2006-09610 DCPCUP-2007-02049 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES Vj NO ❑ YES ❑ NO ❑ YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT • 1st FLOOR TOTAL SQUARE FEET <br /> 30 Sq.Ft. Sq.Ft.6000 <br /> 6000 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $75,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $500.00 <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,puq or° rat tk .,Depment of Natural Resources Service Center. <br /> ..,, W <br /> I hereby consent to the entry on the permitted permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree t co ply with aIrtTane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or t� <br /> plans submitted will invalidate the permit. b_aa <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEYRE•UIRED? '6 ''. -.i,-o'i9'?et,r„a ,.D �' INITIALS 1st INSPECTION DATE INITIALS <br /> 08/04/2016 RLB <br /> �`� \ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials <br /> //r Ie4SS <br /> n� <br /> 86s`-He_1-1-- <br /> Con itcsc4.16 8'x-16- AJof- <br />