Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO <br /> PaaF. , °:2 <br /> DCPZP-201&00427 <br /> OWNER INFORMATION AGENT'CO.NTRACTOR I'FCRMATION <br /> OWNER NAME PHONE AGENT/ TOR NAME PHONE <br /> SHARON E BLUM (608)523-4702 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number,Street) <br /> 300 DRAMMEN VALLEY RD <br /> (City.State,Zip) (City,State.Zip) <br /> MOUNT HOREB,WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SEBLUM@MSN.COM <br /> V.RCEL NO TOE.NSH:rr SECTION 1/4 1/4114 <br /> 0506-311-9110-1 TOWN OF PERRY 31 NE SW <br /> P R O P E R T V ADDRESS' HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 252 DRAMMEN VALLEY RD <br /> subject to field erlRatlon.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Ex Exclusive Ag 1.5 Description:10'X 73'DECK 329-Other <br /> District <br /> Cstpory 0 Residential ❑ Commercial 0 AoncuIturai SEWER SANITARY PERMIT NO. <br /> Private <br /> 0 Other <br /> ROAD CLASSIFICATION REZONE NO. C.UP.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> D YES 0 NO 0 YES 0 NO 0 YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 730 <br /> 3 Sq Ft. Sq.Ft.730 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $4,400.00 <br /> 1 Sq.FL Sq.Ft PERMIT FEE <br /> $100.00 <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 SIGNArJU :Owner/Age DATE: <br /> Ordinances.Any will invalidate shaper from the information or FII _ / , �61 <br /> plans submitted wilt invalidate ttu permit. <br /> SURVEY REOUIRED/ DATE ISSUED INITIALS let INSPECTION DATE INITIALS <br /> 0 No 06/16/2018 PMK2—. a DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> InnkisLt: <br />