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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page lof2 <br /> DCPZP-2021-00357 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRA OR NAME <br /> PHONE <br /> POSEIDON PROPERTIES LLC (608) 347-4839 SCOTT KRA Z (608) 576-7724 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number,Street) <br /> 318 OZARK TRL 2650 N NINE MOUND RD <br /> (City.State,Zip) (City,State,Zip) <br /> MADISON, WI 53705 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BARMSTRONG@TRIDENT-IT.COM SKRANTZ@KRANTZELECTRICINC.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0508-141-8740-0 TOWN OF MONTROSE 14 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6727 HENRY RD <br /> subject to field verification.) <br /> I LOT (BLOCK C.S.M.NO.or PLAT NAME <br /> 2 1 CSM 11511 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> HC HeavyCENSUS CODE <br /> 0.5 Description:COMMERCIAL BUILDING FOR OFFICE AND 329-Other <br /> Commercial District STORAGE USE <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Private 13-2021-00041 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> 9 YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 9 YES ® NO ❑ YES ® NO 9 YES 0 NO EC2021-0089, SM2021-0199 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 25.3 Sq.Ft. Sq.Ft.4825 4825 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $300,000.00 <br /> 1 Sq.Ft. Sq.Ft. <br /> PERMIT FEE <br /> $850.00 <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 SIGNA RE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or / J <br /> plans submitted will invalidate the permit. ../ j 44*" <br /> OFFICE USE ONl Y (form version 04.1;11.1.V1) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/24/2021 SLJ3 <br /> ® YES ❑ NO DATE REVI <br /> INITIALS fN 2nd INSPECTION DATE INITIALS <br /> Initials: ,,r L„ / <br />