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eCOVED R Ap•lication Number:APP-33345 • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. 4 2009 ZP20090119 •• OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR ] PHONE CRAWFORD TRUSTEE, JAMES D (608)222-3429 �Cit (608)838-7794 BILLING ADDRESS (Number,Street) IOU S (Number,Street) 1148 EUCLID AVE 5119 TERMINAL DR. (City,State,Zip) (City,State,Zip) CLEVELAND, OH 44115 MCFARLAND, WI 53558 E-MAIL ADDRESS E-MAIL ADDRESS DAVE.FOY @NORANDEX.COM c jeee s\9nprodu&i-io►S. Cora PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0710-261-6003-5 BLOOMING GROVE 26 NE SE �:Z•7 4:i117c\'1II:I=* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 3480 MILLPOND RD LOT BLOCK C.S.M.NO.Qr PLAT NAME 3 PLAT: BLOOMING GROVE ASSESSORS PLAT10 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: gj New ❑Addition/Alteration CENSUS CODE C-2 2.58 Description:10'X 3'X 9'GROUND ON-PREMISE SIGN 329 - OTHER CATEGORY ❑Residential g Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: 10'X 3'X 9'GROUND ON-PREMISE SIGN 21 Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A 3572 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ,g)Yes ❑No ❑Yes No ❑Yes pt No HEIGHT(In Feet) BASEMENT lei FLOOR TOTAL SQUARE FEET 30 9 30 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3A FLOOR $ 1,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 100.00 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 MIR Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit ∎c IA I �y- .q-13-0q OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS Yes ❑No 09 Apr 2009 RLB DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND • • :■ ,/ FICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. 2. SURV v EQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ 545-112(12/05) GCS-single /��/Oct - A-)9 31