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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> DCPZP-2021-00295 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GL SCHILTZ PROPERTIES LLC (608) 577-5593 HEARTLAND BUILDING AND DESIGN (608)225-5054 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 25 AUTUMNWOOD CIR 6708 WATTS RD <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53719 MADISON,WI 53719 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> GSSKITUNES@CHORUS.NET TIM@ARTISANDECKANDDESIGN.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-253-8820-7 TOWN OF MIDDLETON 25 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6708 WATTS RD <br /> subject to field verification.) <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 /> HC Heavy 3.214 Description:REMOVE EXISTING WALL SIGN,REPLACE WITH 20 329-Other <br /> Commercial District SQ FT WALL SIGN,HEARTLAND BUILDING AND DESIGN <br /> Category 0 Residential f;ZI Commercial 0 Agricultural SEWER . SANITARY PERMIT NO. <br /> Other: <br /> Publc <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> YES 12) NO <br /> SHORELAND FLOOD ZONE WETLAND ECISW NO. <br /> o YES IZ1 NO El YES fa NO D YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 20 <br /> 14 Sq.Ft. Sq.Ft. <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $1,000.00 <br /> PERMIT FEE <br /> Sq.Ft. Sq.Ft. <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. 1 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 /> wvvw.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 SIGNATURE: Owned, _ DATE: <br /> Ordinances.Any unauthorized change from the information or 21 12--) <br /> plans submitted will invalidate the permit. <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 05/27/2021 SLJ3 <br /> 0 YES ra NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />