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Application Number:APP-39002 DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. ZP20090715 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JASON MIKULA (608)837-9770 SAME AS OWNER (608)576-6566 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 129 OAK ST (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 E-MAIL ADDRESS E-MAIL ADDRESS KJMIKULA7 @GMAIL.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0911-291-8060-0 BRISTOL 29 NE NE •:1:Zr1J4:iCNAol1I 4*11.1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2663 HAPPY VALLEY RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 09319 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 61 New ❑Addition/Alteration CENSUS CODE A-1 2.01 42'X 40'X 19'STOR SHED • 328-OTHER NON-RES Description: CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public 4J Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT li FLOOR TOTAL SQUARE FEET 19 1680 1680 Sq.Ft. Sq.Ft. PROJECT COST NO OF STORIES 2nd FLOOR 3rd FLOOR $ 15,000.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 176.00 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 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 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 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. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or u • e. •er revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SI c i• i- . •wn./Ag: DATE: Ordinances.Any unauthorized change from the information A ,, I I }� or plans submitted will invalidate the permit a / ` .r I OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st SP C 10 DATE G INITIA Li Yes ❑No 11 Nov 2009 'LB �j�`Z S�Q /' � DATE REVIEWED INI J /V/41 d INSP /�IQ 3OTE/ o INITIALS - Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TOT •JEC REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VS.iii,N DIE ATIONS ARE MA E WITHOUT THE EXPR/EE S WRITTEN APPR`OOVV DANE CO NTY ZO ING.INITI•. / Dt rg b 9l�RVEY ADVISORY NOT A�LOCATION�URVEY MAY BE REQUIRED �� I ' QUIRED TO VERIFY THAT THE ky1�GaIs CONSTRUCTED ACCORJ�INGDTO�HE PLAN d 2-,,s" 3 6 !a H2, 1 I�ICATIQ�L War 545-112(12/05) GCS--multi � C L/ (/ l/6) JJJIII J b y f(