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• <br /> Application Number:APP-38349 <br /> . DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20090645 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WILSON MANION (608)839-4122 RANDY RAUCH (608)839-3414 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4350 DAMASCUS TRL 304 WATERCRESS CT <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53527 COTTAGE GROVE, WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-083-0360-9 COTTAGE GROVE 08 SW NE <br /> El J:Z•]J 4:11 Av/cI11Il:l 1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4350 DAMASCUS TRL <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 20 PLAT: MEADOW GROVE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New L l Addition/Alteration CENSUS CODE <br /> R-1 .48 <br /> Desuiption:14'x16'SUNROOM . 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public ❑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 /> ❑Yes No ❑Yes No ❑Yes .]No <br /> HEIGHT(In Feet) BASEMENT jai FLOOR TOTAL SQUARE FEET <br /> 13 344 344 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 20,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 76.00 <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 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INS IO DATE INITI / <br /> M Yes Li 07 Oct 2009 SSA1 / 2- f O <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITI S a Initials: /j / /O <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS APPROVAL BAY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS RVEYR/UIOREME0 AlO2C TH IO�SCJRVEY ISVREQUIRED O VERIFY CO4MP COMPLIANCE WITH ZONING'ORDINANCE SETBACKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT <br /> THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 545-112(12/05) G -multi in 21/ //O <br />