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.. Application Number.APP-31392 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20090016 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RICHARD MESEBERG (608)873-7118 SAME AS OWNER (608)628-3469 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1820 HAWKINSON RD <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MESEBERG @RAYMONDTEAM.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/s 1/4 1/s <br /> 0610-342-8346-1 DUNN 34 NW NE <br /> N al t(•I24;AI i"/_\DM N* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment new ad �issubject 1820 HAWKINSON RD <br /> to LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP:CSM 07409 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT 0 New 8 Addition/Alteration CENSUS CODE <br /> RH-2 5.53 De �ion:60'X128'ADDITION TO POLE BARN 437-NON-RES ADD <br /> CATEGORY 0 Residential 0 Commercial 0 Agricultural SEWER SANITARY PERMIT NO. <br /> 0 Other 60'X128'ADDITION TO POLE BARN D Public ) 1 Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 5399 0 Yes 0 No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> DYes No DYes No 0 Yes ),I No <br /> HEIGHT(In Feet) BASEMENT id FLOOR TOTAL SQUARE FEET <br /> 20 7680 7680 <br /> Sq.Ft. Sq.FL PROJECT COST <br /> NO.OF STORIES arid FLOOR 'aN FLOOR $ 40,000.00 <br /> PERMIT FEE <br /> 1 <br /> Sq.Ft. Sq.Ft. $ 626.00 <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 SIGNATU • 0 ner/Agent DATE: <br /> Ordnances.Any unauthorized change from the information , <br /> or plans submitted will invalidate the permit , . 2.2-6 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st!...=SST! DATE INITIALS <br /> ❑Yesl No 22 Jan 2009 pmk2 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> Condit, : 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS& <br /> 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE <br /> USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. <br /> 545-112(12/05) GCS-multi <br />