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• <br /> Ap•Iication Number:APP-36213 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090460 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SCHICK REV TR, KARL G&JULIETTE J (608)824-0500 SAME AS OWNER (608)217-7563 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7077 APPLEWOOD DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53719 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JS @SCILOG.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-274-6056-2 MIDDLETON 27 SE SE <br /> M J:If]J I I 1"/.11] N 44• HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 7077 APPLEWOOD DR <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 6 PLAT:APPLEWOOD HILL <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> R-1 .765 Description:GAZEBO 328-OTHER NON-RES <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:GAZEBO ❑Public ,g)Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 1700 ❑Yes ❑No <br /> SHORELAND 1�t FLOOD ZONE WETLAND bt EC/SW NO. <br /> ❑Yes )4 No ❑Yes No ❑Yes pt No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOg TOTAL SQUARE FEET <br /> �(� 110 <br /> 12 110 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 5,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 58.00 <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 SIGNA URE: Owner/Ag-nt DATE: / <br /> Ordinances.Any unauthorized change from the information /. 7/ 7/Oq <br /> or plans submitted will invalidate the permit t/�1 ( / <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT7(tbCl, <br /> N D E INITIAL <br /> ❑Jes { l No 31 Jul 2009 pmk2 DATER WE INITIA 2nd INSC ON D TE INI LS <br /> Initials: �� �3�0 1 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTE . A MODIF.CATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID I <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <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 /> 545-112(12/05) GCS-single <br />