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Ap•libation Number:APP-36428 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090486 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE 1 AGENT/CONTRACTOR NAME PHONE <br /> NORTH BRISTOL SPORTSMANS CLUB (608)837-6048 KEVYN QUAMME (608)837-6048 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> PO BOX 202 PO BOX 202 <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 SUN PRAIRIE,WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KEVYN @ADVBLDJCORP.COM KEVYS @ADVBLDJCORP.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-131-9691-0 BRISTOL 13 NE SE <br /> a d.7»a r-/_111 Il N 441-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment field verification.) 7229 subject 7229 N GREENWAY RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE <br /> RE-1 20 Description:RIFLE RANGE SHOOT HOUSE 329 - OTHER <br /> CATEGORY ❑Residential SEWER SANITARY PERMIT NO. <br /> Commercial ❑Agricultural <br /> CI Other:RIFLE RANGE SHOOT HOUSE ❑Public 14 Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 5456 2084 ❑Yes ❑No <br /> SHORELAND 1�t FLOOD ZONE may{ WETLAND EC/SW NO. <br /> ❑Yes A No ❑Yes M No ❑Yes X No NA <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 384 <br /> 12 384 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 12,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 224.00 <br /> 1. I,the undersigned,hereby make application for a zoning pem(it only for the location and the work described herein and certify to the accuracy of that <br /> information.I further certify I am the owner of the property,or a duly authorized representative,and may sign this permit application on behalf of the <br /> owner(s) of said property, and I have read and understand all of the conditions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane Doan t ent <br /> NATURE. 0 A 9 <br /> Ordinances.Any unauthorized change from the information TE:/.0 or? <br /> or plans submitted will invalidate the permit �^'-- <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED 1 INITIALS 1st INSPECTION ATE INITIALS <br /> ❑Yes XI No 10 Aug 2009 HJH3 f� ri '/0 7 lea <br /> DATE REVIEWED INITIALS 2nd INSPECTIONpATE i INITIALS <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING 1$ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATI•■ TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE , • L AND 0' NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPFkESS WRITTEN APPROVAL OF DANE COUNTY ZONIN■ INITIAL . Q/ <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />