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Application Number: ZP-19942530 <br /> - DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP19942530 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ROELOF KRAAK KRAAK CONST. INC. <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4958 MIDWSAY LANE 4958 MIDWAY LANE <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL,WI 53559-3559 MARSHALL,WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0812-331-7100-4 MEDINA 33 NE SE <br /> MI'J:Z'l»:ii1%c\11e1:1 HOUSE NO. ST.DIRECTION STREET NAME <br /> ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4929 FEENSTRA RD <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 10 KRAAKSVILLE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE <br /> R-1 Description: 101 — SFR <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Other: New ❑Public <br /> Private 0 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 0 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE ma�yy{{ WETLAND EC/SW NO. <br /> ❑Yes )4 No ❑Yes X No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT laS FLOOR TOTAL SQUARE FEET <br /> 0.000 1909 2615 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR <br /> $ 120,000.00 <br /> PERMIT FEE <br /> 1 <br /> Sq.Ft. Sq.Ft. $ 208.00 <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 enfor ent action. <br /> 2. I,the undersigned,hereby certify that: ' / r C C i <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; V <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 the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Dyes ❑No 30 Dec 1994 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> 1.DECK IS NOT INCLUDED IN THIS PERMIT. MINIMUM SETBACK FROM THE FRONT PROPERTY LINE IS 30 FEET.REQUIRED <br /> Conditions: SETBACK FROM SEPTIC SYSTEM IS 25 FEET FROM FIELD 5 FEET FROM TANK.LOCATION OF THIS BUILDING IS CRITICAL.A <br /> LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.THE COMBINED TOTAL OF THE SIDE YARDS <br /> MUST EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE LESS THAN 10 FEET.MINIMUM REARYARD IS 50 FEET <br /> AL COMPLIANCE. THE COMBINED TOTAL OF THE SIDE YARDS MUST EQUAL 25 FEET AND <br /> NEITHER SIDE YARD SHALL BE LESS THAN 10 FEET. MINIMUM REARYARD IS 50 FEET <br /> 545-112(12/05) GCS-single <br />