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P € se S'` )A• •a ) «YJ l�e'�� 10`'IY/«7I . Ap•Iication Number:APP-33764 ZONING PERMIT NO. ' DANE COUNTY ZONING PERMIT - 4 c,,_3 ZP20090167 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE LEAH ANDAVERDE (608)438-3873 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5872 LINCOLN RD (City,State,Zip) (City,State,Zip) OREGON,WI 53575 E-MAIL ADDRESS E-MAIL ADDRESS LBOELTE @YAHOO.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0611-183-7472-1 PLEASANT SPRINGS 18 SW SE w J K•I J 4 A i'/d 11 11:4 4411111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 3094 SU N NYSI DE ST LOT BLOCK C.S.M.NO.Q PLAT NAME 2 3 PLAT: MONSON PARK ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: il New ❑Addition/Alteration 'CENSUS CODE R-3 .152 Description:SHED 10X21 329 - OTHER CATEGORY V1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SHED 10X21 1RJ Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION D 8417 ❑Yes ❑No SHORELAND FLOOD ZONE � WETLAND EC/SW NO. ,� 1 Yes ❑No ❑Yes BI No ❑Yes B:I No 20090068 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 7 120 120 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR lid FLOOR $ 2,000.00 1 Sq.Ft. Sq.Ft. $ "' „ 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 8,Agent hereby agree to comply with all Dane County ::NATURE:r�r ner/Agent TE: Ordinances.Any unauthorized change from the information \ / / - or plans submitted will invalidate the permit / 'r (�� OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION ATE INITIAL DATE REVIEWED INITIALS 2nd I pTIJA• Yes ❑No 30 Apr 2009 HJH3 7 /3 09 INITIA / 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS RESE ED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VO',)F •NY MR'IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. # '` ,ter 2. SURVEY 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/ o 545-112(12/05) GCS-single