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. Application Number:APP-35856 <br /> • ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090426 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RILEY KAHL (608)832-4839 GARY KAHL (608)832-4890 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 8385 COUNTY HIGHWAY A 8386 COUNTY HIGHWAY A <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 VERONA,WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0507-232-8200-0 PRIMROSE 23 NW NE <br /> J;l•l»:lth ' 'lrl:A 4:1-11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 8385 COUNTY HIGHWAY A <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 10387 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 8 New ❑Addition/Alteration CENSUS CODE <br /> RH-2 5.434 50'X81'POLE SHED 328-OTHER NON-RES <br /> Description: <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:50'X81'POLE SHED ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 8336 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 20 4050 4050 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 32,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 354.00 <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 SIGNAT/'E: Owner/A,ent DATE: <br /> Ordinances.Any unauthorized change from the information / <br /> or plans submitted will invalidate the permit 41110 I 7� 0 1 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION ATE INITIALS <br /> Li <br /> 20 No 20 Jul 2009 pmk2 + ( - ( 0 9 PM <br /> • _DATE REVI- D INITI 2nd INSPECTION>DATE 4 INITIALS <br /> �,t 'y/ <br /> ials: AIP a� 'a —aC o 1 P /-1 K_ <br /> Conditions: 1.THIS APPROVAL BY DANE',OU���ING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V �ll� <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS GGTTJJ'' �L. <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545- 2/05) GCS-multi <br /> k <br /> , d <br /> $ - �CI CAA d -c� 95 . 19 <br />