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DANE COUNTY ZONING PERMIT DCPZP2016-00620 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> AARON C SHOTLIFF (608)438-9738 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5056 COUNTY HIGHWAY A <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ASHOTLIFF @HOTMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0509-231-9520-6 TOWN OF OREGON 23 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 5056 COUNTY HIGHWAY A <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Ex Exclusive Ag 38.6 Description:104'X 148'FREE STALL BARN 329-Other <br /> District <br /> Category 0 Residential 0 Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other:FARM BUILDING Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> EC2016-0205/SM2016-0206 <br /> ❑ YES 0 NO 0 YES ® NO 0 YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 15392 <br /> 34 Sq.Ft. Sq.Ft. 15392 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $338,000.00 <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 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 SIGNAT RE: Owne Ii.ge, DATE: <br /> Ordinances.Any unauthorized change from the information or "/ �/��/ /J <br /> plans submitted will invalidate the permit. ID Y" (/ Q <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/20/2016 PMK2 <br /> Initials: <br /> ES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br />