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rrN ncduvi I I'UI nUCI./1r r-vuo'+v <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090527 <br /> • <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RENEE STODOLA (608)235-7104 MA BARKER REMODELING (608)212-9070 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1618 SUSAN LN 413 3RD AVE., <br /> (City,State,Zip) (City,State,Zip) <br /> DEERFIELD, WI 53531 NEW GLARUS, WI 53574 <br /> E-MAILADDRESS E-MAILADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-244-8310-8 COTTAGE GROVE 24 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 1618 SUSAN LN <br /> LOT BLOCK C.S.M.NO.grr PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 00733 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT ❑New ]Addition/Alteration CENSUS CODE <br /> R-1 1.5 Description:32 X 32 GARAGE ADDN • 438 - GARAGE <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:32 X 32 GARAGE ADDN ❑Public X.1 Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �,1 WETLAND EC/SW NO. <br /> ❑Yes XI No ❑Yes X No ❑Yes A No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 13 1024 1024 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 42,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 127.00 <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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from or plans submitted will in alidate the permit the information _ •'� 8 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT i (A/6 T d INIT S -/f <br /> AI Yes ❑No 24 Aug 2009 SCW1 /i/ `/��/� <br /> DATE REVIEWED INITIALS 2nd INSP I7 DATE / , rt INITI <br /> Initials: 1/ (j <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 BE NULL AND VOID IF Y <br /> MODIFICA I S ARE M/jD/ IT( gUT THE EXPRESS WRITTEN APPROVAL OFD E C JUNTY ZONING.INITIALS <br /> 5X �©, 2.6734)I , -- - 0.-_i r� 3/�Yf <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR, AND 775,CEIVED BY DANE COUNTY ZONING WHEN THE // p <br /> 545-112(12/05) GCS-single ! n L C ' i'•' r , � aLf_C.-XS-6? 1�`76jv, <br />