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Ap•lication Number:APP-36885 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090539 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOHN BROWN (608) 921-0713 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4546 AMERICAN WAY <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE,WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JJEKBROWN @NETZERO.NET <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-034-6177-9 COTTAGE GROVE 03 SE SE <br /> -,;Tel J 4:il Iv/_1'1.1;1 1/111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4546 AMERICAN WAY <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 17 PLAT:AMERICAN HERITAGE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> R-1 0.824 Description:16'X 10'X 8'DET STOR SHED 328-OTHER NON-RES <br /> CATEGORY BI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public )4 Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> E 1789 ❑Yes ❑No <br /> SHORELAND p{ FLOOD ZONE �y{ WETLAND EC/SW NO. <br /> X <br /> ❑Yes No ❑Yes X ❑ �y No Yes pt No <br /> HEIGHT(In Feet) BASEMENT L FLOOR TOTAL SQUARE FEET <br /> 8 160 160 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. 62.00 <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 complianc- or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit 416 0% <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS/ 1st INSP TI N DATE INITI LS <br /> ❑yes ❑No 25 Aug 2009 B f ����� ( 1t. L 6 <br /> DATE REVIEWED INITIALS 2nd INSPE T ON D TE INI LS <br /> Initials: 21 if <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS RRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING: THIS PERMIT SHALL BE NULL AND V F NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIA <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(12105) GCS-s gle/ <br /> I u .h 04 1/W e, ',litho <br />