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Ap•lication Number: APP-33381 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090126 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DANIEL BORGRUD (608)839-5429 SAME AS OWNER (608)628-5335 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 330 BONNIE RD — (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 E-MAIL ADDRESS E-MAIL ADDRESS WINDYPINES5429 @AOL.COM PARCEL NO. TOWNSHIP SECTION +/4 1/4 1/4 0711-221-9194-5 COTTAGE GROVE 22 NE SW 1111:1;W:1 4:it CM.:1+I II 144 HOUSE NO. ST.DIRECTION STREET NAME (Assignment of new address is subject ST.TYPE to field verification.) 3860 LAUDON RD LOT BLOCK C.S.M.NO.or PLAT NAME 4 CERTIFIED SURVEY MAP: CSM 08841 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Iia New ❑Addition/Alteration 'CENSUS CODE R-1A 1.377 Description. 4o'x 2-9)C iy io'" 438 - GARAGE CATEGORY I Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public 14 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 7075 ❑Yes ❑No SHORELAND FLOOD ZONE �yl WETLAND EC/SW NO. C3 Yes Yes ,io,t No Li Yes X)No ❑Yes ❑No HEIGHT(In Feet) BASEMENT 1st FLOOR //Z O TOTAL SQUARE FEET 'U 1040 14.5 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rst FLOOR $ 22 000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 128.00 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 ag,ee to comply with all Dane County Ordinances.Any unauthorized change from the information • or plans submitted will invalidate the permit `4 .. /$_Z OFFICE USE ONLY DATE ISSUED INITIALS 1st INSPE 10 DA-1- INITI S ' 0 13 Apr 2009 RLB /-//6 ∎LIS DATE REVIEWED INITIALS 2nd INSPECTION DAT/o INI' !) e 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 VO rD•hit =•I IFICATIONS ARE MADE W+ T THE EX E ,c N COUNTY O4RI Iy- o -_S J5 / ;/i 2. SU" ' Y REQUIREMENT: 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/ 6//0/0 7 Co ,-_e r e-1�L Plet4se4' 'j S l c q c `I / a v a- ?/13,011