Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ELLIOTT LONG (608)237-1343 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 6496 COUNTY HIGHWAY K <br /> (City,State,Zip) (City,State,Zip) <br /> WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> elliottlong@hotmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0808-252-9600-0 TOWN OF SPRINGFIELD 25 NW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6496 COUNTY HIGHWAY K <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 1 CSM 10342 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Ex Exclusive Ag 36 Description:chicken coop 14'x32' 328-Other Non-Residential <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 /> B-County Highway ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 448 <br /> 9'-6" Sq.Ft. Sq.Ft.448 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $1,300.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $0.00 <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 <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 •f N.•f ral Res• • •-s Service Center. <br /> I hereby consent to the entry on the permitted pre i e I o •nin g inspectors for the <br /> purposes of determining compliance with the zoni or� -s. f �, <br /> Owner• Agent hereby agree to comply with all Dane County' ir ''l:�Z;�j�� DATE: <br /> Ordinan.=s.Any unauthorized change from the information or �� <br /> plans su• itted will invalidate the permit. 0W i%' Z 15 <br /> OFFICE USE CNLY (form version 03.00.07) <br /> SURVEY"j•UIRED? DATE ISSUED INITIALS 1st INSPE ION DAT' INITIALS <br /> `• YES ® NO 10/28/2015 SSA1 <br /> DATE REVIEWED INITIALS 2nd II�NSP:CTION ',ATE INITIAL <br /> Initials: I.\ \I5 ( f-9- .• - C I <br />