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DANECOUNTY ZONING PERMIT ZONING PERMIT NO Page l of 2 <br /> DCPZP-2018-00097 <br /> OWNER INFORMATION AGENT;CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> THE BRUCE COMPANY OF WISCONSIN INC (608)836-7041 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> PO BOX 620330 <br /> (City,State.Zip) (City.State,Zip) <br /> MIDDLETON,WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO TOWNSHIP SECTION 1/4 1/41/4 <br /> 0508-204-8500-7 TOWN OF MONTROSE 20 SE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 713 KELLY DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT 72ARCEL ACREAGE PROPOSED PROJECT: New Structure/Additlon CENSUS CODE <br /> A-1 Ex Exclusive Ag 40 Description:MACHINE SHED ADDITION 329-Other <br /> District <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2017-00405 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ® YES 0 NO ® YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT let FLOOR TOTAL SQUARE FEET <br /> 860 <br /> 14 Sq.Ft. Sq.Ft.860 , <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $9,750.00 <br /> 1 Sq.FL Sq.Ft. PERMIT FEE <br /> $440.00 <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&Agent hereby agree to comply with all Dane County DATE: <br /> Ordinances.Any unauthorized change from the Information or <br /> plans submitted will Invalidate the permit. $ 2.3 <br /> OFFICE USE ONLY (form version 04.OJ.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS let INSPECTION DATE INITIALS <br /> YES ® NO 03/22/2018 PMK2 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials <br />