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• Application Number:APP-33898 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 oft ZP20090185 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JON SKALA (608)839-4969 SAME AS OWNER (608)770-3976 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2546 GASTON RD (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 E-MAIL ADDRESS E-MAIL ADDRESS SKALAPIX @CHARTER.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-042-8290-7 COTTAGE GROVE 04 NW NE NI J:fel J 4:t r-/_l DI DI A*11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2546 GASTON RD to field verification.) LOT BLOCK C.S.M.NO.pr PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 61 New ❑Addition/Alteration CENSUS CODE RH-1 2.567 Description:SFR /011°1" tk CATEGORY ]Residential ❑Commercial ❑Agricultural SEWER ,,'--- SANITARY PERMIT NO. ❑Other:SFR ❑Public N Pri =te 5 '2-p IT ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. •EED REST: • C 3877 ❑Yes Cl No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT 1.FLOOR TOTAL SQUARE FEET 25 1274 1898 4136 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 31. FLOOR $ 250,000.00 1 964 PERMIT FEE Sq.Ft. Sq.Ft. $ 360.00 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 SIGNATU- •• + gent DATE: Ordinances.Any unauthorized change from the information -, 7,-.4 i or plans submitted will invalidate the permit ` f OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes :� ,�. 07 May 2009 pmk2 - �� DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS onditions: 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 VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 2. EROSION CONTROL: OWNER/AGENT MUST CONT.CT T .- DANE COUNTY DEPARTMENT OF LAND&WATER RESOURCES(608-224-3• , - .,..f IT'_ RMINED IF AN EROSION CONTROL PERMIT IS REQUIRED. SIGNATUR'I ��..,,_ DATE —7---,e7 545-112(12/05) GCS-multi Q�,w,�, 4--% u� 4.1-4 ,, q 130 h