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Ap.Iication Number:APP-37568 <br /> • <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090592 <br /> • OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KENNETH HOMMEN (608)224-0734 MEIGS INC (608)767-2729 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4797 HOMBURG LN 1527 HIGHWAY 14 PO BOX 412 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53704 BLACK EARTH,WI 53515 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 '/4 1/4 <br /> 0810-364-9180-9 BURKE 36 SE SW <br /> -La:Tel J:1 C/_A'1 DI:I 441M HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignmtofeld eriification�issubject 4791 HOMBERG LN <br /> LOT BLOCK C.S.M.NO.g'r PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: t4 New ❑Addition/Alteration CENSUS CODE <br /> C-1 1.002 Description:60'X 42'X 21'STOR SHED 328-OTHER NON-RES <br /> CATEGORY ❑Residential SEWER SANITARY PERMIT NO. <br /> Commercial ❑Agricultural <br /> ❑Other: ❑Public )4I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 889 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes ❑No ❑Yes ,4 No ❑Yes ,4 No <br /> HEIGHT(In Feet) BASEMENT i t FLOOR TOTAL SQUARE FEET <br /> 21 2520 2520 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 27,888.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. <br /> $ 256.00 <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 8 Agent hereby agree to comply with all Dane County SIGNAT E: Owner/A DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit / 9-17-60, <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> AI Yes ❑No 17 Sep 2009 RLB <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> nitials . <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> 3onditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AN /M�UST/jBE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> 2(12105) GCS-single i r A, /�n t ' ( C�'`l k S �.t� `/g L` -y i4e rt cl, <br />