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...�. .4T.... _... ......................................... • .��. .......................��•�- <br /> DANE COUNTY ZONING PERMIT ZONING <br /> TNNO. <br /> Page 1of2 <br /> 2021 <br /> OWNER INFORMATION <br /> OWNER NAME AGENT/CONTRACTOR INFORMATION <br /> PHONE AGENT/CONTRACTOR NAME <br /> OREGON FARM CENTER INC (608)835-3114 PHONE <br /> BILLING ADDRESS(Number,Street) <br /> 4636 STATE HIGHWAY 138 ADDRESS(Number,Street) <br /> (City,State,Zip) <br /> OREGON,WI 53575 (City,State,Zip) <br /> E-MAIL ADDRESS <br /> OREGONFARMCENTER@GMAIL.COM E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-063-9790-1 TOWN OF RUTLAND 6 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME <br /> ST.TYPE <br /> (Assignment of new address is 4636 STATE HIGHWAY 138 <br /> subject to field verification.) <br /> LOT (BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 05107 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> FP-B Farmland 5.0 Description:GRAIN BIN 60'DIAMETER CENSUS CODE <br /> Preservation 329-Other <br /> Category 0 Residential ® Commercial <br /> ® Agricultural SEWER SANITARY PERMIT NO. <br /> p Other. Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. <br /> (' A-US or State Highway DEED RESTRICTION <br /> 0 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES 0 NO p YES ® NO p YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 80 Sq.Ft. Sq.Ft.2827 <br /> 2827 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $150,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $550.00 <br /> it- <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 /> 0 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 /> illik other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> Pr www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> ilikI 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 04SIGNA RE: Ow r er/Ag= DATE: <br /> Ordinances.Any unauthorized change from the information or t , i <br /> plans submitted will invalidate the permit. %L rio Po 2-5 Z` <br /> OFFICE USE C LY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/25/2021 SLJ3 <br /> ❑ YES ® NO DATE REVIE ED INITIALSn 2nd INSPECTION DATE INITIALS <br /> Initials: �L�V1 0 <br /> iwd ro rK <br /> t <br />