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DANE COUNTY ZONING PERMIT oOPFo "7N P 1 F of� <br /> s-00034 <br /> OWNER NAME PHONE ACs COMJ ,tOR NAME <br /> GOLDEN GREEN PROPERTIES LLC (608)756-2318 PHONE. <br /> EXCEL ENGINEERING INC. (624)926-9800 <br /> suLUNG ADDRESS(Number.Stress) ADDRESS(Number,Street) <br /> 1840 BELOIT AVE 100 CAMELOT DRIVE <br /> (City, ) (City,State.Zip) <br /> JANESVILLE,WI 53545 FOND DU LAC, Wt 54935 <br /> EMAIL ADDRESS E-MAIL ADDRESS <br /> PAUL©GOLDENOILCOMPANY.COM ERIC.D©EXCELENGINEER.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 <br /> 1/4 1/4 <br /> 9 SW NE <br /> 0611-093-8440-0 TOWN OF PLEASANT SPRINGS <br /> PROPERTY ADDRES S HOUSE NO, ST.DIRECTION. STREET NAME <br /> (Assignment of new address Is 2741 ST.T <br /> subject to field we fca on.) COUNTY HIGHWAY N <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 11192 <br /> ZONING DISTRICT 1 OIARCEL ACREAGE PROPOSED PROJECT: New StrucwrelAddition <br /> C-2 Commercial 5.32 Description:FUELING STATION WITH CONVENIENCE STORE CENSUS COOS <br /> District AND FAST FOOD RESTAURANT AND WITH A DRIVE THRU. 9-Other <br /> CategM' ❑ Residential ® commercia' 0 Agdcutsurai SEWER SANITARY PERMIT NO. <br /> ❑ +« Private 13-2018-00023 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. <br /> B-County Highway 11194 2389 3685 DEED RESTRICTION <br /> 0 YES 0 NO <br /> SHORELANO FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES 17 NO [] YES ® NO ® YES ❑ NO EC2017-0292/$M2017.0293 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR <br /> TOTAL SQUARE FEET <br /> 10550 <br /> 25 sq.Ft. <br /> sq.Ft 10550 <br /> NO.OF STORIES 2rM FLOOR FLOOR PROJECT COST <br /> 1 $2,500,000.40 <br /> 3q.Ft Sq.Ft. PERMIT FEE <br /> $5,200.00 <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 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 8 Agent hereby agree to comply with all Dane County SIGNATU ,,t)wner/A. _ • <br /> Ordinances.Any unauthorized change from the Information or DATE: <br /> plans submitted will invalidate the permit p t ■ .. <br /> _ _ c�rr tc US e sB X r, :� r�aUn;2, <br /> SURVEY REQUIRED? DATE ISSUED . INITIALS 1st INSPECTION DATE INMALS <br /> ■ YES ® NO 02/09/2018 PMK2 <br /> } DATE REVIEWED INITIALS 2ntl INSPECTION DATE INITIALS <br />