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• <br /> Application Number:APP-31776 <br /> SANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20090029 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DOROTHY MESKE (608)235-7302 CHRIS MILLER CONSTRUCTION, LIa (608)877-1366 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3295 LEE SOUTH CT 3186 KINNEY ROAD <br /> (City.State,Zip) (City,State,Zip) <br /> MCFARLAND,WI 53558 COTTAGE GROVE, WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CHRIS.MILLER.CONSTRUCTION @GMAIL.COM <br /> PARCEL NO. i TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0710-363-8050-1 BLOOMING GROVE 36 SW NE <br /> J fel 4;11/_]i]DI:4$ 1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 3295 LEE SOUTH CT <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO. PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 01494 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE <br /> A-1 EX 0.58 Description:REPLACEMENT SFR FOR BURNED DOWN HOME WITH DECK 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Li other: REPLACEMENT SFR FOR BURNED DOWN HOME WITH Do ❑Public )6 Private 7 /`►`, 1V(0 0 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1f FLOOR TOTAL SQUARE FEET <br /> 14.5 2084 3077 5161 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 1$ 200,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 437.00 <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/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit fi - ZS',or' <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 05 Feb 2009 pmk2 <br /> M Yes ❑No <br /> V' DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: C• <br /> Conditions: 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 VON IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS C n-.. <br /> 2.SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME <br /> THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 545112(12!05) GCS-multi �6/O ( O C D n /� / / b- 0 7 ^ V, / 1/►1 <br /> 1! 1•00Tkbs c.0,� 0/6 -( v <br />