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Application Number:APP-37781 . r DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO.ZP20090602 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE FREDERICK DIEDERICH (608)424-3411 GEHIN CUSTOM HOMES (608)576-9536 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7115 NORTH SHORE DR W3238 DAYTONWOOD RD., (City,State,Zip) (City,State,Zip) BELLEVILLE,WI 53508 BELLEVILLE,WI 53508 E-MAIL ADDRESS E-MAIL ADDRESS N BTTGEH I N @AOL.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0508-342-8835-6 MONTROSE 34 NW NW t.1 4 eff 1'l it N*11.1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 7115 NORTH SHORE DR to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 1 PLAT: BELLROSE ZS]ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New LJ Addition/Alteration CENSUS CODE R-1 438 X 20 GARAGE(ATTACHED) 438 - GARAGE CATEGORY Residential ❑Commercial Li Agricultural SEWER SANITARY PERMIT NO. ❑other 24 X 20 GARAGE ❑Public Private ROAD CLASSIFICATION REZONE NO. 7 /L/ CU.P.NO. VARIANCE NO. DEED['Yes RESTRICTION ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. )6 Yes ❑No ❑Yes No ❑Yes No E_�D09 ` 007413 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 13 480 480 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 30,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 86.00 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 SIGNA RE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information ' of_2,)^Q or plans submitted will invalidate the permit C OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION AT , I�+I�IA ❑Yes l No 22 Sep 2009 SCW1 ' I - 1 1 F"] DATy D — 0 INITIALS 2nd�N INSPECTION DATE ^ INITIALS c,1-3Initials: - P M I 7 r / Condltio s. 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 V ID F*Ny MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS II�� 11!!JJ 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-mufti