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• Ap•Iication Number:APP-37396 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. i ZP20090581 • OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN JULSETH (608)837-1717 SAME AS OWNER BILLING ADDRESS (Number.Street) ADDRESS (Number,Street) 1802 W MAIN ST (City,State.Zip) (City,State,Zip) STOUGHTON, WI 53589 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. 1 TOWNSHIP SECTION 1/4 1/4 1/4 0611-144-8001-0 PLEASANT SPRINGS 14 SE NE ;la:+III 4itil∎W1rlrJ;I*IAN HOUSE NO. ST.DIRECTION (STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2507 ( TOWER DR LOT BLOCK C.S.M.NO.4X PLAT NAME METES AND BOUNDS: METES AND BOUNDS !ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: id New ❑Addition/Alteration CENSUS CODE A-1 EX 37 Description:AG ACC BUILDING 32X48 329 - OTHER CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. LI Other:AG ACC BUILDING 32X48 _ ❑Public 1I Private NA !ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION ! C , ❑Yes 0 N ISHORELAND FLOOD ZONE I WETLAND EC/SW NO. ��t CI Yes XI No LJ Yes ,i_st No I U Yes No NA HEIGHT(In Feet) BASEMENT 111 FLOOR TOTAL SQUARE FEET 12.6 1536 Sq.Ft. Sq.Ft, PROJECT COST NO.OF STORIES Z.nd.FLOOR .r4 FLOOR $ 18,500.00 PERMIT FEE 1 Sq.Ft.—........_.._.. Sq.Ft. $ 50.00 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 stucture 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 compli ce r until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNAT R Owner/Ag t DATE: Ordinances.Any unauthorized change from the information (l_iij —CA 1 or plans submitted will invalidate the permit. _jj OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION D TE INITtAj Yes No 14 Sep 2009 HJH3 Io Tc �/j DATE REVIEWED INITIALS 2nd INSP DATE INITIAL Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V. ••.ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS �► 4 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-single