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Ap.lication Number:APP 38520 <br /> DANE COUNTY ZONING PERMIT , ' ZONING PERMIT-NO; _:- <br /> ZP20090659 <br /> OWNER INFORMATION ;=` , " � ; .- :; ,AGENT/CONTRACTOR:.INFORMATION <br /> OWNER NAME PHONE ' ' <br /> AGENT/CONTRACTOR NAME <br /> PHONE <br /> MATTHEW AMMERMAN (608) 764-5025 JOHN MORSCHAUSER BUILDER (608) 764-5025 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2045 YELK RD 1354 BURVE RD <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL, WI 53559 DEERFIELD, WI 53531 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> TOWNSHIP ;-. .: <br /> SECTION 1/4 1/4 1/4 <br /> 0811-142-8505-0 SUN PRAIRIE 14 NW NW <br /> ®:J`(•J 1 I`i r x-1'1'7;14 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2045 YELK RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 12747 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: VI New ❑Addition/Alteration CENSUS CODE <br /> RH-2 5.026 Description.40'X 30'X 17'DET RES GAR 438 - GARAGE <br /> CATEGORY ,�Residential ❑Commercial ❑A Agricultural <br /> SEWER <br /> 9 SANITARY PERMIT NO. <br /> ❑Other: ❑Public <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 10052 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes X No �y <br /> ❑Yes ,e�No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 17 1200 1200 <br /> Sq Ft. Sq Ft PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 15,000.00 <br /> PERMIT FEE <br /> 1 Sq"Ft. <br /> Sq.Ft. 140.00 <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 SIG A URE: Owner ent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit / ! J0- iy°9 <br /> `OFFICIt ,USE:ONLY.,:',„'-:-.-. e, <br /> SURVEY REQUIRED? DATE ISSUED "INITIALS 1st INSPECTION D TE INITIII LLS,a <br /> ❑Yes ❑No 14 Oct 2009 RLB /// 3 .0 <br /> DATE REVIEWED INITIALS 2nd INSPECTION AT INIT LS <br /> Initials: 3-//4/10 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO TH 'ROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND el VF •NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRE S WRI EN APPROVAL OF DANE COUNTY ZONING.INITIALS ,f/ <br /> /d- 25(3)(6) /D, 2-5-0)�.��b y' ,I?b✓L. 244 F <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIF THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12105) GCS-single <br />