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Ap.Iication Number:APP-35823 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090422 <br /> OWNER INFORMATION 1 AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DOUGLAS HORSTMEYER (608)318-2057 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 6691 CHEDDAR CREST RD <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 <br /> E-MAILADDRESS E-MAILADDRESS <br /> DVH715 @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-293-2406-2 BRISTOL 29 SW Nw <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 6691 <br /> to field verification.) CHEDDAR CRST <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 6 PLAT: HOMESTEAD ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: gi New ❑Addition/Alteration CENSUS CODE <br /> A-1 .6 Description:12 X 14 SHED 328-OTHER NON-RES <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 12 X 14 SHED ❑Public )Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE may{ WETLAND EC/SW NO. <br /> ❑Yes X No ❑Yes X No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 10 168 168 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 4,700.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 53.00 <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 • URE: Owner/• •ent DATE: <br /> Ordinances.Any unauthorized change from the information � <br /> kt' ' <br /> or plans submitted will invalidate the permit 1 ' <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED?� DATE ISSUED INITIALS 1st IN•SP ��iATF o � INIT ALS <br /> ❑ENo 17 Jul 2009 SCW1 irk///// <br /> DATE REVIEWED INITIALS 2nd INSP T J DqE/ 7 INITIpL�S <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> {� /IBC ))ditto s. REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BfE NULL AND VOI r' IF i Y <br /> /VC il( / (k MODIF�AT4 14 poti e-WITHQUT�(/, 0) 0) / US���A>�yNE 3U/7/o / G/• o Igo ` VL vdc` (fit <br /> /6, 12( C4 2. SUUR.11VEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> 0% I g 6-) BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />