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Ap•lication Number:APP-37669 <br /> DANE COUNTY ZONING P RMIT ZONING PERMIT NO. <br /> ZP20090597 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> NOLDEN REVOC TR (608)424.3481 DAVID NOLDEN (608)424-3481 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7119 GEHIN RD 7119 GEHIN RD,. <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE,WI 53508 BELLEVILLE,WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0508-273-8600-3 MONTROSE 27 SW NW <br /> M:7;Tel:I 4;I1 •111']4441E/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 7119 GEHIN R D <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 ❑Addition/Alteration CENSUS CODE <br /> LC-1 5 Description:MACHINE SHED 64 X 30 320 - INDUSTRIAL <br /> CATEGORY ❑Residential lam!Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:MACHINE SHED 64 X 30 Xi Public /Private <br /> ROAD CLASSIFICATION REZONE NO. C.I.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE may{ WETLAND EC/SW NO. <br /> Oyes XNo Dyes XNo ❑Yes XNo <br /> HEIGHT(In Feet) BASEMENT 1§t FLOOR TOTAL SQUARE FEET <br /> 18 1920 1920 <br /> Sq.Ft. I Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 35,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. i Sq.Ft. $ 270.00 <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 fficial map to the applicants'land; <br /> • No such official map is applicable,or,if such map is appli ble,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employe 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 perr,itted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zo ing ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certifc to of compliance or until earlier revoked in.writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane C my SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information Z - (� `\ ■/ 9.....2"q or plans submitted will invalidate the permit VV�� <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATK/ INITf kLS <br /> AYes 0 N 21 Sep 2009 SCW1 /I ' ia-OTC- Ur tie. ( MK <br /> ^ DATE REVIEWED 0 INITIALS 2nd INSPECTIO DATE INITIALS <br /> Initials: `1 J (/ -02,1 --0 9 P t'l K I - I i C 1 t M <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 VOID ikA ip ,Y <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS W-) <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,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE 0 <br /> 545-112(12/05) GCS-single <br />