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fry IR:di /Il IvwlJVCI./1rr-JVLO I <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090469 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CHRISTOPHER KILEN (608)424-1985 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7771 COUNTY HIGHWAY A <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE, WI 53508 <br /> E-MAILADDRESS E-MAILADDRESS <br /> CHRISK @KILENENGINEERING.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 Y4 <br /> 0508-184-8581-5 MONTROSE 18 SE NW <br /> J:Z•7 J 4a r"/.1•]D1:I4* HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is subject COUNTY HIGHWAY A <br /> to field verification.) 7771 <br /> LOT BLOCK C.S.M.NO.ar PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT gi New ❑Addition/Alteration CENSUS CODE <br /> RH-3 8 Description:I NGROUND SWIMMING POOL W/EQUIP.PAD 329 - OTHER <br /> CATEGORY Residential LI Commercial D Agricultural SEWER SANITARY PERMIT NO. <br /> Doter: INGROUND SWIMMING POOL W/EQUIP. PAD ❑Public <br /> XI Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B ❑Yes D No <br /> SHORELAND FLOOD ZONE WETLAND �t EC/SW NO. <br /> ❑Yes X No LI Yes X No Dyes A No NA <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 0 720 720 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Irst FLOOR $ 18 000.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 104.00 <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 )IGNATU R-. • ner ,gent TE: <br /> Ordinances.Any unauthorized change from the information / \ (I <br /> or plans submitted will invalidate the permit —t_ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st ?INSSPECTION ATE A INITIALS <br /> LI Yes XI No 03 Aug 2009 HJH3 9 — 02. -0T f t- <br /> DATE REVIEWED- O INITIALS 2nd I fy$PECTION - o-t INITKLS <br /> In e- , <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL B '19 ' 1.',,`•IDD IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONI Cyr <br /> 545-112(12/05) GCS-single <br />