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DANE COUNTY ZONING PERMIT DCPZP 2017 00801 Page 1 of 2 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE HUSTON HOLDINGS LLC (608)209-6670 Dennis Richardson (608) 255-9223 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 2561 COFFEYTOWN RD 2561 Coffeytown Rd., (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 Cottage Grove, WI 53527 E-MAIL ADDRESS E-MAIL ADDRESS dennis@rghuston.com PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0711-164-8011-7 TOWN OF COTTAGE GROVE 16 SE NE PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 4026 County Highway N subject to field verification.) LOT BLOCK C.S.M.NO or PLAT NAME METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE A-1 Ex Exclusive Ag 31.26 Description:30 x 50 barn District Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. Private no fixtures ❑ Other: ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B-County Highway ❑ YES ® NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. D YES ® NO ❑ YES ® NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1500 21 Sq.Ft. Sq.Ft. 1500 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $9,900.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $0.00 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County S •TU' : Owner!' • = DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit. - J i i Z // 1 OFFICE USE ONLY (form versio'i 03.(1.01) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 12/08/2017 SC W 1 ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initi .