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DANE COUNTY, WISCONSIN <br /> APPLICATION FOR: ZONING PERMIT PERMIT# : 126-201 <br /> PARCEL NUMBER MUNICIPALITY SEC 1/4 of 1/4 <br /> 081220290007 Town of Medina 20 SW NW <br /> PROPERTY ADDRESS : 5443 LANGER RD <br /> (Assignment of new address is subject to field verification) <br /> Lot : 1 Block: Plat : <br /> CSM# : 5221 Parcel area: 0 . 000 AC Old PMT# : Census cd: 101 <br /> Proposed use: Single Family Res New: Rural Homes <br /> sfr w deck <br /> old house to be torn down as soon as new house able to move in <br /> Sewer: Private County POrmit# 2001045 Zoning District : RH-3 <br /> Road Classification: C Road right-of-way Width: 66 <br /> Conditional use permit # : 246742 Variance : <br /> Shoreland: N Floodzone : N Wetland: <br /> Sq ft . area Basment : 1778 1st . 1778 2nd. 1796 Total 5352 <br /> Dimensions : 59 . 000 X 90 . 000 Stories : 2 Feet : 0 . 000 <br /> Project cost : 200, 000 Permit Fee : 431 . 12 Sq ft area: 10620 . 000 <br /> OWNER and AGENT hereby agree to comply with all WISCONSIN County <br /> ordianances . Any unauthorized change from the information or plans submitted <br /> will invalidate the permit . <br /> OWNER: AGENT: <br /> DIANE FORTUNATO JIM BARNA LOG SYSTEMS <br /> 5481 LANGER RD W1469 BERKANS RD <br /> MARSHALL WI 53559 FREMONT WI 54940 <br /> 1 800 684 0007 <br /> SIGNATURE: Owner/Agent 6442.41.--P <br /> Rural address # : Y Post required: Y Installed: 03/08/2001 <br /> Issued: 03/08/2001 By: MJB Reviewed: / / By: <br /> 1st inspection: //a-Pi- By:2P/1" Setback:! L yd: <br /> 2nd inspection: g //) / 0 By: p4741 R yd: / Rear:.) <br />