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• Application Number:APP-32742 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 oft ZP20090068 OWNER INFORMATION ( AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE HELMKE-NEY TR (608)835-7059 PHILIP HELMKE (608)245-1868 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 4802 COUNTRY MEADOWS RD 4802 COUNTRY MEADOW RD (City,State,Zip) (City,State,Zip) BROOKLYN,WI 53521 BROOKLYN,WI 53521 E-MAIL ADDRESS E-MAILADDRESS PAHELMKE @WISC.EDU PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0509-254-0545-8 OREGON 25 SE NE -;2:1.7 J 1 111711 Dl'] l#4111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 4802 COUNTRY MEADOW RD to field verification.) LOT BLOCK C.S.M.NO.et PLAT NAME 5 PLAT: COUNTRY MEADOWS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 8 New LI Addition/Alteration CENSUS CODE ✓ R-1 3.1 Description:24'X40' DETACHED GARAGE WITH LOFT 438 - GARAGE CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E 173 ❑Yes No SHORELAND FLOOD ZONE WETLAND EC/SW NO. LI Yes No ❑Yes No ❑Yes No 20090038 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 16.5 960 1320 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3A FLOOR $ 17,325.00 360 PERMIT FEE Sq.Ft. Sq.Ft. $ 149.00 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 SI . ,TUR : Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit A . _l 3 l o OFFICE USE ONL:f SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTI N DATE INITIALS ❑Yes l No 19 Mar 2009 SSA1 (e/3 DATE REVIEWED , INITIALS 2nd INSPECTION DATE INITIALS Initials: 31°1 I DA _The tal l7�D9 Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS A( 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. 545-112(12/05) GCS-multi