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<br /> • Apelication Number:APP-32881
<br /> DANE COUNTY ZC PERMIT
<br /> ZONING PERMIT NO.
<br /> , ZP20090079
<br /> :'L 0 zi FO ,•r , ,' :' AGENT/CONTRACTOR INFORMATION
<br /> OWNER NAME A 'L:.TICONTRACTOR NAME PHONE
<br /> MALY REAL ESTATE LLC • ■ 637-5188 STEVEN KALSCHEUR (608)628-1624
<br /> BILLING ADDRESS (Number.. ree() A .'ESS (Number,Street)
<br /> 11521 3RD AVE S 4526 MEADOWWOOD CIR
<br /> (City,State,Zip) (C ty,:state,Zip)
<br /> BURNSVILLE, MN 55337 DEFOREST, WI 53532
<br /> E-MAILADDRESS E ADDRESS
<br /> SKALSCHEUER @ADVBLDGCORP.CON
<br /> ..,„PARC : ' ' 't. "f1:i I- SECTION '/4 1/4 1/4
<br /> 0810-243-8500-9 BURKE 24 SW NW
<br /> PROPER 4 ADD;• 117 , H NC DIRECTI DN S f =T NAME ST.TYPE
<br /> (Assignment of ,v address ,, t 5: MALY RD
<br /> to tell elitication ._....
<br /> LOT ,BLOCK C_:_I' ,C ;,E
<br /> 1 CERTIflED SURVEY MAP: CSM 01673
<br /> ZONING DISTRICT PARCEL; E PlC.)r 'SE - j New X ',on/,Alteration CENSUS CODE
<br /> C-2 52-.0 Decor ton:'' '.DDN TO VET O'_!IJIC 329 - OTHER
<br /> CATEGORY J Resident, `.1 Comma cal Itural SEWER SANITARY PERMIT NO.
<br /> CI Other 60)(45 ADDN '-7 VET CLI'.'IC ❑Public Private 11649
<br /> ROAD CLAS IFIL-,T ION ONE NJ C.U.P.NO. VARIANCE NO. DEED RESTRICTION
<br /> C 1 9''93 ❑Yes ❑No
<br /> SHORELAND -;D ZO WETLAND EC/SW NO.
<br /> CI r�Ye, ah I '_No i Y=s i Li Yes ,
<br /> HEIGHT on Feel, C t at TOTAL SQUARE FEET
<br /> 12.5 3075 3075
<br /> PROJECT COST
<br /> NO.OF STC :Et., r DR $ 175,000.00
<br /> PERMIT FEE
<br /> 2
<br /> 550.00
<br /> 1. I,the uriders' 'ed, her'. ,. i' ntt permit a t,ly f:r VI,- 'ori and the work described herein and certify to the accuracy of that
<br /> inform','I:;II , , .riper ce , t':e 'y, or a drily a.ahc. r r'resentative, and may sign this permit application on behalf of the
<br /> owners; of d proper', I I . - t Id . :'and all of the or s of this permit and will construct the project in compliance with
<br /> those c0' s. I undo ' •! ' at fa rr, c any provision oft i ,rrout renders it null and void and may result in an enforcement action.
<br /> 2. I,the ur',:"rs!,med. here: n that
<br /> • ha' - ,._r a dr,ge.., tn 1 r ' ,'ry official man to ' 'n icants'land;
<br /> • No s, r, ia'map ir. i ,rlict,'.) the .app the appropriate city or village has been obtained;
<br /> • I ha'a; nu:' ed upon. ;arn,. ,. vees it O,u:; t+ canoes;
<br /> • I under star, ,the post' r''.,, r cting any sit u,:hi a't an officially mapped area without the proper approval of the city or
<br /> village'ins d.Any. -rn It •ty local,F rrit".n: al mapped area for which the applicant has not obtained the proper
<br /> per:: t tr. me apprt;, ail,), r , . and vol t.
<br /> 3. I, the undr orsi:rred, herr: c. ,ert t- ' r c t permitted premiL i zoning inspectors of the Dane County Department of Planning &
<br /> Develops ert 'o determ ;Hoc,: r, 1 , zoning ora,nanc s consent is valid for the period commencing with issuance of this
<br /> zoning pent and tern :<, .s a' rtificate of comp or until ea her r:yoked in writing by the owner of the property.
<br /> Owner&Ane,,r hereby .-4, ,(-',/ ., 0 Count,, St : Owner/ en, DATE:
<br /> Ordinances :° ;/unau' , • /nation
<br /> orplans subs _ 'red wti= :,, , r:t?,,,, ,.rr 0 3 23
<br /> _. k
<br /> SURVEY-- . 1 ,,,r ECTION DATE INITIALS
<br /> N 3
<br /> 2nd INSPECTION DATE INITIALS
<br /> Initials: _
<br /> THIS At r ! ' 'LIIN; a". _Y I ' ''E PLAN AS PRESENTED. ANY MODIFICATION TO THE
<br /> Conde' ';OJEC1 . 1 ITE'I, PP, if u',NE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND
<br /> DID IF A I WIT 11( "T 1 ,E SS WRITTEN APPROVAL OF DANE COUNTY ZONING.
<br /> tITIALS_ jet_C-,
<br /> I'. SURD ' t /!F(:r'I; I , I_OCA- !O" S` -Y MAY BE REQUIRED TO VERIFY THAT THE
<br /> UILDI^ ' 1`.: 00: .." '!'-' '( PL/'.,N SUP".1ITTED WITH THIS APPLICATION.
<br /> 545-112(1 ._....,,.... T ' / 1 FO ./b On 1''\ / ri/o 1.”' f (J' 'S `L" JcAL
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