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Ap.lication Number:APP-39463 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT • ZP200ERMI OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE RANDY COPPERNOLL (608)358-3468 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 4713 ROIGAN TER (City,State,Zip) (City,State,Zip) MONONA,WI 53716 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-331-9885-6 COTTAGE GROVE 33 NE SE ;fel24 a!CRAB] l;1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 3315 NORTH STAR RD LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 03718 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: I4 New ❑Addition/Alteration CENSUS CODE R-3A 0.78 Description:18'X 9'X 8'DET STOR SHED 328-OTHER NON-RES CATEGORY XI Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public 'XI Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A 3877 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. LI Yes pm No ❑Yes XNo ❑Yes )4 No HEIGHT(In Feet) BASEMENT ism FLOOR TOTAL SQUARE FEET 8 162 162 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 100.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 62.00 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 until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: ►w -r/Ag-nt DATE: Ordinances.Any unauthorized change from the information / or plans submitted will invalidate the permit /- t a Z-Cf-O OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIONV DATE INITIA ❑Yes I No 03 Dec 2009 RLB / Z-//V e7 DATE REVIEWED INITIALS 2nd INSP T O/D 7 INI �(y iInitials: 1 I/ ` t© 9 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIO S RE M��AQ9E WITHOUT THE XPRESS WRITTE P AL OF DANE C U TY O NG.INITIALS l ZAi /V'y/119Tar 25(�/6r ail bpi KWL 2/6/4 4 2. SURVEY ADVISORY NOTE: A LOCATION SU MAY BE REQ IRED 0 VERIFY THAT THE BUILDING IS CONSTPWCTED ACCORDI G TO THE P SUBMITTE I THIS APPLICATION. 545 112(12/05) GCS-single 14-n I it Ov /A, a r k /m, /WV / 2o0)0) )