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• <br /> Application Number:APP-35054 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20090335 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MARK MACKENZIE (608)424-1581 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1017 OBSERVATORY HILL RD <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE,WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0508-162-9001-0 MONTROSE 16 NW SW <br /> • :('1 J 4:k IhW l DI 17 A 4:1-11/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.pi PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 5 New ❑Addition/Alteration CENSUS CODE <br /> A-1 EX 37.524 Desatption:50'X48'BARN 328-OTHER NON-RES <br /> CATEGORY LI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:50'X48' BARN ❑Public <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 15 2400 2400 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR FLOOR $ 21,600.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 230.00 <br /> 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 <br /> 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 <br /> 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 <br /> 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. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the 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/A. nt DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit a , •*r.�r lar <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE n INITIALS <br /> ❑Yes 1 No 23 Jun 2009 pmk2 7 -3 0- 0 \ �K <br /> DATE REVj,72 ` /A INITI� 8�i // 2nd IN PECTIQN©TE © 7 INITAL <br /> Ihitials: �//QQ__// 1 a.?1 ^ r <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 VOID F ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS p717 <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 />