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Application Number:APP-32763 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING P4RMIT Page 1 of 2 ZP20090073 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KRELL COMPANY LLC (608)212-'666 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) 1 ADDRESS (Number,Street) <br /> 209 S MAIN ST <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BILLK @KRELLINSURANCE.COM <br /> PARCEL NO. 1 TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0608-073-8450-0 II pri 11', VERONA 07 SW NE <br /> ma:t•lJ4:ii'ffA'I'l:l* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2793 WHITE CROSSING RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 3 CERTIFIED SURVEY MAP: CSM 12121 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 8 New LI Addition/Alteration CENSUS CODE <br /> RH 1 2.136 Description:SINGLE FANILY RESIDENCE 101 - SFR <br /> ' <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other. ❑Public Private 518213 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 9335 <br /> LI Yes ❑No <br /> SHORELAND FLOOD ZONE WEtLAND EC/SW NO. <br /> Yes ❑No Yes ❑No Yes LI No EC2009-0039 <br /> HEIGHT(In Feet) BASEMENT 1sf FLOOR TOTAL SQUARE FEET <br /> 2902 4481 7383 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 300,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. i Sq.Ft. $ 604.00 <br /> I <br /> 1. I,the undersigned,hereby make application for a zoning pem,it 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 employeeq in giving these assurances; <br /> • I understand the possible adverse consequences of erectin0 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 Iodated 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 pernliitted 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 infonnatrlpn <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ❑No 19 Mar 2009 DJE1 <br /> DAT�REVIEV�IEC�^� � � INIT,�LS � 2nd INSPECTION DATE INITIALS <br /> Initials: �aZi OO_11CC ((JJ v M <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 VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-multi <br />