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DO , r L Ap.lication Number: APP-31259 ' DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090006 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE TIMOTHY OLSON (608)345-3603 FREDENBERG CONSTRUCTION 6087641597 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2728 COFFEYTOWN RD P 0 BOX 234 (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 COTTAGE GROVE, WI 53527 E-MAI L ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-174-9076-6 COTTAGE GROVE 17 SE SW NO J:T•l a 4:1 ilWA 1111:4 4: HOUSE NO. ST.DIRECTION ,STREET NAME ST.TYPE (Assignment of new address is subject 2725 COFFEYTOWN RD to field verification.) LOT BLOCK C.S.M.NO.gi.PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 08032 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2I New ❑Addition/Alteration CENSUS CODE RH-1 2.380 Description:SINGLE FAMILY RESIDENCE W/DECK 101 - SFR CATEGORY ,K Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public X Private 518219 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 6349 ❑Yes ❑No _ SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes )4 No ❑yes ,t,I No ❑Yes X1 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1131 2058 3735 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR Jr FLOOR $ 175,000.00 546 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 331.00 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 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 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 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. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIO DATE INIT LS ❑Yes `�INo 16Jan2009 DJE1 . 2-C(0? DATE REVIEWED INITIALS 2nd INSPEC491 DATE/ INI/� Initials: ^^///// 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE E EXPRE S WRITTEN APPROVA OFDANE COUNTY ZONING. INITIALS /CI. Z S r'/(G.�(, CCt k A r a S— l 4 3 5/ / / 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING I CONSTRUCTED A CORDIJVG T E PLAN SUBMITTED WITH THIS APPLICATION. O d A- 1 �-�S -- U\ -�-4, s S S fil 9 D �//►/ /�} 5451 (t2/OS) GCS-single iii t 2-c(00) /0 Lc(5 \ D I j/ /�f 2/War