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4, <br /> • Application Number:APP-33801 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. <br /> ZP20090173 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREGORY ROESSLER (608)798-2291 SAME AS OWNER (608)516-3508 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1825 BOURBON RD <br /> (City,State,Zip) (City,State,Zip) <br /> CROSS PLAINS,WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> GROESSLER @ROESSLERANDSONS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0807-344-8420-0 BERRY 34 SE NE <br /> NB I{']114 a ill DI II N HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4923 W BREWERY RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 1 CERTIFIED SURVEY MAP 925 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> A-2(8) 15.47 <br /> Description:64'X50'POLE SHED 328-OTHER NON-RES <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SE R SANITARY PERMIT NO. <br /> ❑other:64'X50' POLE SHED • •ubl V. Private <br /> C 9455 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. (VARIA E NO. i'EED RESTRICT]/yi PP Yes ■ o <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. IP <br /> ❑Yes ..§No ❑Yes No ❑Yes 'e • <br /> HEIGHT(In Feet) BASEMENT 1st FLOO- l OTAL SQ R FE <br /> 16 2864 '`�/) 2864 <br /> Sq.Ft. PROJEC `CO•T <br /> NO.OF STORIES 2nd FLOOR �d FLOOR $ , ` 17,000.00 <br /> ^RTE <br /> 1 Sq.Ft. Sq.Ft. 265.00 <br /> 1. I,the undersigned,hereby make application fo . -oning •=. onl or the location and th ark described ti:ein and certify to the accuracy of that <br /> information. I further certify I am the owner oft - . operty,or. •u y authorized representative, and may sign thi..ermit application on behalf of the <br /> owner(s) of said property, and I have read an. •erstand :II of the conditions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to compl 4 an •rovision of the permit renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby ce ' • .a <br /> • I have made a diligent inqui into e<.plica� ' • any official map to the applicants'land; <br /> • No such official map is appli .ble,o if- ch .p is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any .tements •f • employees in giving these assurances; <br /> • I understand the possible ad :Ise con quences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning pe fit issu-• for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate villa.' hall be null and void. <br /> 3. I, the undersigned, hereby consent to e entry on the permitted 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 information r <br /> or plans submitted will invalidate the permit 4 it C � 4 5'-y O 7 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> C7 Yesl No 04 May 2009 pmk2 <br /> ° DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: rz.--, <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 VOI44 ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS(Si K-- <br /> 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE <br /> USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. <br /> 545-112(12/05) GCS-multi <br />