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Application Number:APP-34539 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. <br /> ZP20090264 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAMIE BECKER (608)884-6205 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 156 EDGERTON RD <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON, WI 53534 <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> J.BECKERCONST @CHARTER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0512-342-9800-0 ALBION 34 NW SE <br /> MI,its114:1 i1d rl•i N*-1-11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 156 EDGERTON R D <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 09880 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ']New ❑Addition/Alteration CENSUS CODE <br /> RH-2 6.46 Description:ACCESSORY BLDG 438 - GARAGE <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Other:3200 SQ FT ACCESSORY BLDG ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> C 7924 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes 0 N ❑Yes No Li Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 17 3200 3200 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 30,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 290.00 <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 SIGNA a RE: Own= Ag- , 0• E:cji <br /> Ordinances.Any unauthorized change from the information e <br /> or plans submitted will invalidate the permit �' V <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI D TEJ INITIALS _ <br /> ❑Yes No 02 Jun 2009 SCW1 0/// D SS�[7���' <br /> DATE REVIEWED INITIALS 2nd INSPEC ff ION DAtE INITIALS <br /> Initials: <br /> Cond tons: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO T •A ECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL'BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V•��IY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL.i, <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-multi <br />