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o <br /> DANE COUNTY ZONING PERMIT `o,.iric, Pik ,ii N °` <br /> DCPZP-2018-00032 <br /> O`::'IER oRr1ATloN ,.(;,rit coF:TRAC'Ti N rs--)-4 L.1 i!O'1 <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TIMOTHY A WILSON (608)698-2118 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1300 GARDEN AVE <br /> (may,State.Zlp) (City,State,Zip) <br /> STOUGHTON,WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> WILSN5@YAHOO.COM <br /> PAS-EL rNO 10'1:".SHIP SECTION 1/4 1/41/4 <br /> 0510-222-8660-7 TOWN OF RUTLAND 22 NW NW <br /> 1-R O P E H T Y C D H L S HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of two address Is 768 CENTER RD <br /> subject to field verification.) <br /> LOT BLOCK i C.S.M.NO.or PLAT NAME <br /> 2 CSM 08861 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Nsw StrudtwWAddfiron CENSUS CODE <br /> RH-1 Rural Homes _2-21— Descr'Iption: 438-Garage <br /> District 2. 9 7 D rctc d sT d urlt-ia\ Ganes,30'x34 ' . <br /> Category 0 Residential ❑ Correnerdal ❑ Agtictrlpxal SEWER SANITARY PERMIT NO <br /> ❑ r: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 06558 <br /> ❑ YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES 0 NO ❑ YES RI NO <br /> HEIGHT(In Feet) BASEMENT -- let FLOOR TOTAL SQUARE FEET <br /> 14'MEAN Sq.Ft. Sq.Ft.1020 1020 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $32,000.00 <br /> 1 Sq.Ft. SO.Ft. PERMIT FEE <br /> $126.50 <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.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 __- <br /> plans submitted unauthorized� from the Information or y ,4,' ;A' I - E'`6 o72' V Adt.o..(-if I r:E USE'�'.Ll" i ., r, _cn H. , 1 <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ® NO DATE REVIEWED / INITIALS 0 3W3 2nd INSPECTION DATE INITIALS <br /> aggeridelso 02- 7- V e‘-/K <br />