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Applicatio ' vv• DANE COUNTY ZONING PERMIT ZONING PERMIT NO. - ZP19982098 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNS' E PHONE AGENT/CONTRACTOR NAME NM PHONE B: , RIPP 608 767-3870 DESIGN HOMES, INC. •08 326-6041 INGADDRESS (Number, 'reet) ADDRESS (Number,Street) 309 WEBB ST P.O. BOX 239 (City,State,Zip) (City,State,Zip) • BLACK EARTH, 53515 PRAIRIE DU CHEIN,WI 53821 / E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0806-362-9360-2 BLACK EARTH 36 NW SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 9687 COUNTY HIGHWAY KP LOT BLOCK C.S.M.NO.or PLAT NAME 1 9011 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE R-1A 1.62 AC Description: 101 — SFR CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. Other.New ❑Public M Private 0 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B 0 NO ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 0.000 1173 1173 2618 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3Ed FLOOR $ 74,875.00 272 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 158.00 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 SURVEY REQUIRED? DAT D s INITI 1st INSPECTION DATE INITIALS ❑Yes ❑No 09 Sep 1998 12/18/98 BJS DATE Rs FXVE-4.�—� . INITIALS 2nd INSPECTION DATE INITIALS Initials: 12/18/98 BJS 1.CANTILEVERED SECTIONS OF BUILDINGS MUST COMPLY WITH SETBACK ANDY REQUIREMENTS. RAIS S WHICH ARE NOT COVERED OR ENCLOSED Conditions: MAY PROJECT INTO A REARYARD AREA NOT MORE THAN 12 FT.MINIMUM SETBACK FO EET FROM THE CENTER OF THE RIGHT-OF-WAY OR 42 FEET FROM THE RIGHT-OF-WAY LINE,WHICHEVER IS GREATER.REQUIRED SETBACK FROM SEPTIC SYSTEM IS 25 FEET FROM FIELD 5 FEET FROM TANK.LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.THE COMBINED TOTAL OF THE SIDE YARDS MUST EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE LESS THAN 10 FEET.MINIMUM REARYARD IS 50 FEET. Y OR 42 FEET FROM THE RIGHT-OF-WAY LINE, WHICHEVER IS GREATER.REQUIRED SETBACK FROM SEPTIC SYSTEM IS 25 FEET FROM FIELD 5 FEET FROM TANK.LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.THE COMBINED TOTAL OF THE SIDE YARDS MUST EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE LESS THAN 10 FEET.MINIMUM REARYARD IS 50 FEET. 545-112(12/05) GCS-single