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V <br /> Ap•lication.Number:APP-25550 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT " <br /> • ZP20080708 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MICHAEL FRIEDLI (608)873-6969 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1238 RACE TRACK RD <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CMFERDLI @CHARTER.NET <br /> PARCEL NO I TOWNSHIP SECTION 1/4 1/4 '/4 <br /> 0511-091-6401-1 DUNKIRK 09 NE SE <br /> M J;lel:I4 ill 1 1.1'l(I 1.11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 1238 RACETRACK RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 3 PLAT: RACE TRACK SUBDIVISION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE <br /> R 2 7 Description:DECK 12 X 30 PLUS STEPS 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:DECK 12 X 30 PLUS STEPS ❑Public g Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. <br /> EC/SW NO. DEED RESTRICTION <br /> C �y{ I=1 Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND <br /> Dyes )4 No ❑Yes ,r,l No ❑Yes pm No <br /> HEIGHT(In Feet) BASEMENT 1.FLOOR TOTAL SQUARE FEET <br /> 1 380 380 <br /> P Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 1,700.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 79.00 ' <br /> j1. I, undersigned,hy mnmd eeaccuracy t <br /> information.the I further certify ereb I am ake the owner application of for the a zo propertying per,or a it duly only for authothe rized location representativeand the work,and describe may sign her this in perand mit c application to the accuraon behalf of 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 /> 4 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 /> CI • 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 /> 0 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 County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> a <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTIO DATE INITIAL <br /> ❑Yes Xi No 19 Sep 2008 CHS1 12. <br /> DATE REVIEWED INITIALS 2nd INS` I E INITIALS <br /> Initials: 6,ntrf(J vQf�kfi�/ <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRE ENTED. ANY MODIFICATION TO THE <br /> Conditions.' PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <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 />{I <br />