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Application Number:APP-38799 DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO.ZP20090693 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DEAN CILUFFO (773)491-2785 DAN SCHMUDLACH BUILDERS (608)628-4679 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 3443 ALSMO LN 2425 AB CTH (City,State,Zip) (City,State,Zip) STOUGHTON,WI 53589 MCFARLAND,WI 53558 E-MAIL ADDRESS E-MAIL ADDRESS DESCHMUD @VERIZON.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0610-144-8450-4 DUNN 14 SE NE a•1 J=1 a i M_111,l1;1 44 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 3443 ALSMO LN to field verification.) LOT BLOCK C.S.M.NO.pr PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New U Addition/Alteration CENSUS CODE A 1 EX 0.19 AC Description:RAISE BASEMENT FLOOR TO 846+FT AMSL 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: LY Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION D 3584 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. Yes ❑No Yes No ❑Yes No NOT REQUIRED HEIGHT(In Feet) BASEMENT JAI FLOOR .TOTAL SQUARE FEET 0 231 O 231 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 800.00 0 0 0 PERMIT FEE Sq.Ft. Sq.Ft. $ 68.00 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: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit /0 _56 .07 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes I No 30 Oct 2009 KLS 1 11f0 DATE REVIEWED INITIALS �� ALS 2nd INSPECTION DATE INITIALS Initials: / Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND��NY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL 4 2. 100-YEAR FLOOD ELEVATION FOR THIS PARCEL IS 845.00 FEET ABOVE MEAN SEA LEVEL. OWNER WISHES TO RAISE PART OF BASEMENT FLOOR TO EXCEED THIS. 545-112(12/05) GCS-multi