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DANE COUNTY ZONING PERMIT DCPZP-2018-00147 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ZEN BALA Bryan Case (608)977-0033 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3408 AMHERST RD 6150 Century Ave., <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON, WI 53562 Middleton, WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bcase @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-301-8050-0 TOWN OF MIDDLETON 30 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7685 W MINERAL POINT RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS H1 1(0 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Struc re/Additio 164ENSUS CODE <br /> A-1 Agriculture 2 Description:greenhouse j jaap 328-Other Non-Residential <br /> District Iii l n <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ <br /> Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway <br /> YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES o NO ❑ YES ® NO D YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1400 <br /> 11 Sq.Ft. Sq.Ft.1400 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $1,800.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $310.00 <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 SIGNAT -E: Owner/' sent DATE: <br /> Ordinances.Any unauthorized change from the information or (9 <br /> plans submitted will invalidate the permit. �� IN � '1/i7 <br /> OFFICE I!SE ONLY (form version 04 00.00) <br /> SURVEY REQUIRED? DATE ISSUED NITIALS 1st INSPECTION DATE INITIALS <br /> r 04/17/2018 SC W 1 <br /> 0 YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initi4 5,C, t,.... l 11 <br />