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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> i <br /> DCPZP-2017-00726 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BOLLIG PROPERTIES LLC (608) 516-0964 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number.Street) <br /> 6001 FEMRITE DR <br /> (City.State,Zip) (City,State,Zip) <br /> MADISON, WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JEFFBOLLIG @BOLLIGCOMPANY.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0710-234-9080-9 TOWN OF BLOOMING GROVE 23 SE SW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6003 FEMRITE DR <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: Alteration to existing building CENSUS CODE <br /> C-2 Commercial 4.6 Description:COMMERCIAL ADDITION-SERVICE SHOP, 328 - Other Non-Residential <br /> District OFFICE,AND RESTROOMS <br /> Category Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> Public MADISON METRO SEWER <br /> ❑ Other. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 04041 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO <br /> YES ® NO ❑ YES ® NO YES © NO EC2017-0230 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7280 <br /> 24' Sq.Ft Sq.Ft.7280 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $550,000.00 <br /> 1 Sq Ft. Sq.Ft. PERMIT FEE <br /> $1300.00 <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 SIGNATURE: Owner • - er DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. . <br /> OFFICE USE ONLY (form version 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/26/2017 SLJ3 <br /> . ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> l <br /> Initials. <br /> :� (U�3!/(1 <br />