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Application Number:ZP-20010055 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20010055 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DENNIS&TRICA BENTHEIMER 608 839-4706 SELF BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 3826 VILAS RD SAME (City,State,Zip) (City,State,Zip) COTTAGE GROVE,WI 53527 E-MAILADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-212-9245-6 COTTAGE GROVE 21 SW NW •,:('l A ;A IVIA Oil:1441M HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 4 9702 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE RH-1 3.216AC Description: 434 - RES ADD CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ICMOther:Addition/alteration ❑Public 1E1 Private 0 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 0 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes p1 No ❑Yes X No ❑Yes ,e>J No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 320 0.000 320 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 15,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. 80.00 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 SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ❑No 08 Feb 2001 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS ADDITION MAY NOT BE USED AS A BEDROOM.USE AS A BEDROOM REQUIRES APPROVAL FROM DANE COUNTY ENVIRONMENTAL HEALTH AND MAY ALSO Conditions: THE AN INCREASE IN THE SIZE OF THE SEPTIC SYSTEM. DECK IS NOT INCLUDED IN THIS PERMIT. MINIMUM SETBACK FOR STRUCTURES IS 63 FEET FROM THE CENTER OF THE RIGHT-OF-WAY OR 30 FEET FROM THE RIGHT-OF-WAY LINE,WHICHEVER IS GREATER. LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.THE COMBINED TOTAL OF THE SIDE YARDS MUST EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE LESS THAN 10 FEET. MINIMUM REARYARD IS 50 FEET. T FROM THE CENTER OF THE RIGHT-OF-WAY OR 30 FEET FROM THE RIGHT-OF-WAY LINE,WHICHEVER IS GREATER. LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.THE COMBINED TOTAL OF THE SIDE YARDS MUST EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE LESS THAN 10 FEET. MINIMUM REARYARD IS 50 FEET. 545-112(12/05) GCS-single