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�---� Application Number:APP-25087 <br /> DANE COUNTY ZONING PERMIT Pa e , of 2 ZONING PERMIT NO. <br /> 9 ZP20080672 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DAVID WILLIAMS (608)437-3428 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2562 STATE HIGHWAY 92 <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 - • <br /> 0607-182-9330-8 SPRINGDALE 18 NW SW <br /> INISJIIII:14;414/.1■111;4**-111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2562 STATE HIGHWAY 92 <br /> to field verification.) • <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> A-1 8.7 <br /> Description:30'X48'SHED 328-OTHER NON-RES <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> LI Other: ❑Public Private . <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICIION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes ❑No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1s1 FLOOR TOTAL SQUARE FEET <br /> 18.0 1440 1440 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 15,525.00 <br /> kot <br /> 1 PERMIT FEE <br /> ing <br /> Sq.Ft. Sq.Ft. $ 158.00 <br /> r <br /> 1. I,the undersigned,hereby make application for a zoning perm' for the location e work describ erein and certify tciaccuracy of that or <br /> information. I further certify I am the owner of the property, • . .uly authorized r entative,and may • this perm' .plica ,n on behalf of the <br /> owner(s) of said property, and I have re ar under a ��:II of the condi' this permit and"'construct .je. compliance with <br /> those conditio derstand that fail4reomply withil9 provision f theiit renders it null anaand may in enforcempt actin <br /> 2. I,the der 0 -d, ereby certify. N 41 o V <br /> • I hay. • .. a diligent i quiry�a applicabof any g�LTal map appliit and; , ag• No i` lcial map is a lic ,or,if such plop is .••li le,the appal oft propr' 1 y or village has bee .; <br /> • I - of ied upon ments of e s sin givi�, t se assurarces; <br /> I '.P stand he possible verse co nces �r}'ng any ..- .re wit a offiic' ped are thou he per a Iva]of ity or <br /> Oege involved.Any zoning p 1 or a . •p- y locate. i$ n an of cl app a for whic the ap has taine, a proper <br /> t from the appropriate a city shall . • II and vie �/ 1 <br /> 3. the undersigned, hereby c ns to the e on the p ' ed pr ,r .a. I <br /> i spectors of the Dane County Depart erOf Planning & <br /> Development to determine compliance c 's z g ordin . i T}�nt is valid for the period commencing �suance of this <br /> zoning permit and terminating with issua� n e ate of come : e ntil earlier revoked in writing by the owlel�f the property. <br /> 9 Y <br /> Owner&Agent hereby agree to comply with all Dane Counf51GNATURE: Owner/Agent DATE: \ <br /> Ordinances.Any unauthorized change from the informations-.-``----- /t Sl V ,c< <br /> or plans submitted will invalidate the permit L <br /> F ,: �i. ,:. ::..:OFFICE°USE=ONLY - <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes O No i 1 Sep 2008 SSAI <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initia <br /> Conditions.' 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND ID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.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-multi <br />