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' Application Number:WEB-34372 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZP20090258 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KEVIN BEHNKE (608)835-9686 SAME AS OWNER (608)835-9686 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4635 COUNTY HIGHWAY A 1 <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KDBEHNKE @GMAIL.COM KDBEHNKE @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-183-8170-0 RUTLAND 18 SW NE <br /> :J Ail a 4; M 1'1'1 I*1:11/HOUSE No. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4635 COUNTY HIGHWAY A <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 10041 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: in New ❑Addition/Alteration CENSUS CODE <br /> RH-2 5.79 Description:DETACHED GARAGE 438 - GARAGE <br /> CATEGORY Residential LI Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other: N Public LI Private 400600 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 8051 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> LI Yes No ❑Yes No Li Yes No <br /> HEIGHT(In Feet) BASEMENT lst FLOOR TOTAL SQUARE FEET <br /> 19 0 868 868 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Rg FLOOR $ 12,000.00 <br /> 1 0 0 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 117.00 <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 herby agree to comply with all Dane County SIGNATURE: • ner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit ,,, ../lf,„// 6 . j <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TIO DATE INITIALS <br /> ❑Yes I No 01 Jun 2009 SSA1 V/*3(O°! <br /> DATE REVIEWED INITIALS 2nd INSP CTI DATE INITIALS <br /> Initials: iii(�(O°I D€ -) (310°) -LW <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 VOI IFANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS , <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 />