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• Ap•lication Number:APP-25110 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080679 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SKALITZKY BROTHERS LLC (608)513-6515 RYAN SKALITZKY 608-513-6515 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7341 STATE HIGHWAY 89 7341 STATE HIGHWAY 89 <br /> (City,State,Zip) (City,State,Zip) <br /> COLUMBUS, WI 53925 COLUMBUS, WI 53925 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0912-132-8500-7 YORK 13 NW NW <br /> -,;1']J 4 it 114/1 Dl'Li*TAM HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is subject 7343 STATE HIGHWAY 89 <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: ❑New SCI Addition/Alteration CENSUS CODE <br /> A-1 EX 39.9 Description:20'X36'HOME ADDITION 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:20'X36' HOME ADDITION ❑Public XI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND ��ll EC/SW NO. <br /> ❑Yes )4 No ❑Yes )4 No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1440 <br /> 14 720 720 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 15,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 158.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit 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 County SIG NA -E: Owne nt DATE: <br /> Ordinances.Any unauthorized change from the information ` <br /> or plans submitted will invalidate the permit / a1 <br /> OFFICE USE i)NLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE •N DAT�1�i INITIALS <br /> ❑Yes l No 12 Sep 2008 pmk2 /t iofo.s <br /> c DATE REVIEWED INITIALS 2nd INS PECTIp ,D INITI S <br /> Initials: 2 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. 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 /> 4.1'kftli INITIALS <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> �60,,, "�^ BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545712(12/05) GCS-single ,of / V�.,1�1/ Pet..,tvtiV,L,Y Ap e <br /> ' 1 s ���` 4 o ' s 21010 I . <br />