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Apo libation Number:APP-34286 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090238 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MARK SAEGER (608)842-0019 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 6620 S OAK LN <br /> (City,State,Zip) (City,State,Zip) <br /> WINDSOR,WI 53598 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0910-304-6411-5 WINDSOR 30 SE SE <br /> El Jail a Cal r].l:] 11111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 6620 S OAK LN <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.pi PLAT NAME <br /> 11 11 PLAT: LAKE WINDSOR-4TH ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New New ❑Addition/Alteration CENSUS CODE <br /> R-1 .75 Description:RES SHED 8X10 329 - OTHER <br /> CATEGORY 'A Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:RES SHED 8X10 ❑Public M Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D ❑Yes ❑No <br /> SHORELAND ��tI FLOOD ZONE WETLAND EC/SW NO. <br /> )4 <br /> ❑Yes No ❑Yes No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT tat FLOOR TOTAL SQUARE FEET <br /> 80 <br /> 7.5 80 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Id FLOOR $ 1,200.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 56.00 <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 revoke• in writing by the owner of the property. <br /> Owner It Agent hereby agree to comply with all Dane County SIGNATURE: •wner/Agent _R ATE: <br /> Ordinances.Any unauthorized change from the information 'S Lj <br /> or plans submitted will invalidate the permit �6 � <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT;. DATE INITIALS <br /> ❑Yes A No 22 May 2009 H H3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Clnitia>I <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> • • Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single /PO 45 e4p-14,4 <br />