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• Ap•lication Number:APP-37619 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> . ZP20090596 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRIAN RING (608)837-3760 SAME AS OWNER (608) 695-7700 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 223 CHATEAU DR <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53527 <br /> E-MAILADDRESS E-MAILADDRESS <br /> BJRING4 @CHARTER.NET <br /> PARCEL NO. I TOWNSHIP SECTION '/s 1/4 1/4 <br /> 0911-293-2610-4 BRISTOL 29 SW Nw <br /> -:I ash J 4:I rV/11,1'l:4 4*111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 6646 <br /> to field verification.) CHEDDAR CRST <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 40 PLAT: HOMESTEAD ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: DA New ❑Addition/Alteration CENSUS CODE <br /> A-1 0.741 Description:12'X 12'X 11'DET STOR SHED <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public XI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE � WETLAND EC/SW NO. <br /> ❑ t Yes XI No ❑Yes X�I No ❑Yes A No <br /> HEIGHT(In Feet) BASEMENT st FLOOR TOTAL SQUARE FEET <br /> 11 144 144 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 2,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 62.00 <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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information .7 <br /> or plans submitted will invalidate the permit �' ' 7..2/ o' <br /> OFFICE USE ONLV <br /> SURVEY REQUIRED? DATE ISSUED I INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ❑No 18 Sep 2009 RLB W 3 t /o f K-( <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITI�g,L)S <br /> Initials: '/ 3 Lt/G. / /�,�-+-� <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions.' REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V ID Y <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO H PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single l <br /> I <br /> � T ��/o1 �'� 1 <br />