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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2018-00064 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KRELL COMPANY LLC (608)212-2666 BILL & BEV KRELL (608)212-2667 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 209 S MAIN ST 2791 WHITE CROSSING RD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> billk @krellinsurance.com bevk @krellinsurance.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0608-073-8420-0 TOWN OF VERONA 7 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2817 WHITE CROSSING RD <br /> subject to field verification.) <br /> LOT (BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 12121 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-2 (8)Agriculture 10.28 Description:garage addition 438-Garage <br /> District <br /> Category 0 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway 8446 2285 0 YES ® NO <br /> SHORELAND FLOG ZONE WETL D EC/SW NO. <br /> fi YES NO YES NO YES 0.4 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1176 <br /> 16 Sq.Ft. Sq.Ft. 1 176 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $20,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $138.20 <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 SIGNATU; 0 n. /A•e` DATE <br /> Ordinances.Any unauthorized change from the information or ' //6 <br /> �/ '��' <br /> plans submitted will invalidate the permit. j� <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/07/2018 SSA1 <br /> ❑ YES 0 NO DATE REVIEWED INITIALS - INSPECTION DATE INITIALS <br /> Initials: 3 - /3- k L//Y/' 1 � <br />