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Application Number:APP-31641 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. <br /> ZP20090026 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEPHEN LA RONGE (608) 345-0499 SAME AS OWNER <br /> BILLINGADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2821 WENTWORTH DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53719 <br /> E-MAIL ADDRESS E-MAILADDRESS <br /> LINDA @SKYLINESERVICES.NET <br /> PARCEL NO. 1 TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0712-314-8003-3 DEERFIELD 31 SE NE <br /> 1111J:Te7»:1114L1•1ILI4-4-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1318 SCHADEL RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 2 CERTIFIED SURVEY MAP: CSM 08390 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> RH-2 7.001 Description:72'X 36'X 22' DET STOR SHED 328-OTHER NON-RES <br /> CATEGORY )6 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 72'X 36'X 22' DET STOR SHED <br /> U Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 6741 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT tat FLOOR TOTAL SQUARE FEET <br /> 22 2592 2592 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR ard FLOOR $ 23,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 489.00 <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/Ag: DATE: <br /> Ordinances.Any unauthorized change from the information , g f 2(( 1C C <br /> or plans submitted will invalidate the permit <br /> ■ {� 1 %I <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TIO ATE INITI LAS <br /> ❑Yes l No 02 Feb 2009 RLB -/ff/0 7 /C-L <br /> DATE REVIEWED INITIALS 2nd INS.TTI N DAV INI <br /> Initials: A/ <br /> Conditions: 1.THIS P OVAL 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 VOD F NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAI,SJ( • <br /> 2. ACCESSORY BUILDI " -NO LIVESTO K: IS BUILDING SHALL NOT kE USED. <br /> TO HOUSE LIVESTOC . /t /07 /c 26-6)(t) to,545-112(12/05) GCS-multi 6v �rr`V L. >A fe S� l <br />