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ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT DCPZP-2021-00308 Page 1of2 <br /> OWNE• IN ORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANIEL W& DIANE JENKS (608) 480-3045 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 300 COUNTY HIGHWAY N <br /> (City,State,Zip) (City.State,Zip) <br /> EDGERTON, WI 53534 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> thirtypointer@hotmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0511-274-8060-9 TOWN OF DUNKIRK <br /> 27 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 300 COUNTY HIGHWAY N <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT 'PARCEL ACREAGE I PROPOSED PROJECT: New Structure/Addition 'CENSUS CODE <br /> FP-`C Farmland qc r11 n,._,,,,,,,,,,,,,,,,,le Shed I nnn r1ar..,._ <br /> r ., :, -vu ICI <br /> Preservation District I Iv <br /> Category ❑ Residential ❑ Commercial ® Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. IC.U.P.NO. I VARIANCE NO. DEED RESTRICTION <br /> B-County Highway <br /> f=1 YES X71 NO <br /> I I <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 2560 <br /> 21 Sq.Ft. Sq.Ft.2560 <br /> DQ(1 IFr`T(`(ICT <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $40,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $306.00 <br /> I 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 /> ,.al.....U.. lakes, <br /> ,,d streams. \A/..alando al.. a .. a a,.0 . .ILII o • ..a,... ,. be difficult <br /> IIGCiI or VII YVGtICi11UJ, IQr�G.7, and .7l1 GGilll.7. VVGlICt11UJ tl lCll CtIG nut GIJJVl�IC1lGU VVllll V)./GII VVGitGI 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 SIG : 0 '/Age DATE:. • <br /> Ordinances.Any unauthorized change from the information or / � ` C_ J / ''42‘; / ` D <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 /> 06/03/2021 SSA1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />