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DANE COUNTY ZONING PERMIT <br />Application Number: APP -34144 <br />ZONING PERMIT NO. <br />ZP20090225 <br />OWNER INFORMATION <br />AGENTICONTRACTOR INFORMATION <br />OWNER NAME PHONE <br />AGENT/CONTRACTOR NAME PHONE <br />RANDALL MEINHOLZ (608) 541-0090 <br />SAME AS OWNER <br />BILLING ADDRESS (Number, Street) <br />ADDRESS (Number, Street) <br />1570 COUNTY HIGHWAY A <br />18 May 2009 <br />(City, State, Zip) <br />(City, State, Zip) <br />EDGERTON WI 53534 <br />E-MAIL ADDRESS E-MAIL ADDRESS <br />BIRDLADY76@YAHOO.COM <br />PARCEL NO. I TOWNSHIP SECTION �/a �/a �/a <br />0512-182-9300-5 ALBION 18 NW SW <br />• <br />HOUSE NO. <br />1570 <br />ST. DIRECTION <br />STREET NAME <br />COUNTY HIGHWAY A <br />ST. TYPE <br />(Assignment of new address is subject <br />to field verification.) <br />LOT <br />BLOCK <br />C.S.M. NO. or PLAT NAME <br />METES AND BOUNDS: METES AND BOUNDS <br />ZONING DISTRICT <br />PARCELACREAGE <br />PROPOSED PROJECT: ❑ New W Addition/Alteration <br />CENSUS CODE <br />A-2 <br />2.0 <br />Description:26' X 16'X 14' ADDN TO EXST FOWL SHED <br />328 - OTHER NON -RES <br />CATEGORY ❑ Residential ❑ Commercial ❑ Agricultural <br />SEWER <br />SANITARY PERMIT NO. <br />Ll Other: 26'X 16'X 14' ADDN TO EXST FOWL SHED <br />❑ Public 5I Private <br />ROAD CLASSIFICATION <br />REZONE NO. <br />C.U.P. NO. <br />VARIANCE NO. <br />DEED RESTRICTION <br />B <br />6070 <br />❑ Yes ❑ No <br />SHORELAND <br />FLOOD ZONE <br />WETLAND <br />EC/SW NO. <br />A Yes ❑ No <br />❑ Yes No <br />❑ Yes JAI No <br />HEIGHT (In Feet) <br />BASEMENT <br />19 FLOOR <br />TOTAL SQUARE FEET <br />491 <br />14 <br />491 <br />PROJECTCOST <br />Sq.Ft. <br />Sq.Ft. <br />$ 8,819.00 <br />NO. OF STORIES <br />2nd FLOOR <br />3rd FLOOR <br />PERMIT FEE <br />1 <br />Sq.Ft. <br />Sq.Ft. <br />$ 81.00 <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 <br />Ordinances. Any unauthorized change from the information <br />or plans submitted will invalidate the permit <br />OFFICE <br />SIGNATURE: Owner/Agent <br />rry <br />USE ONLY <br />DATE: <br />% d <br />SURVEY REQUIRED? <br />DATE ISSUED <br />INITIALS <br />ist INSPECTION DATE <br />INITIALS <br />❑ Yes ❑ No <br />18 May 2009 <br />RLB <br />DATE REVIEWED <br />INITIALS <br />2nd INSPECTION DATE <br />INITIALS <br />Initi <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 />VOID IF ANY MO IFICAT ONS ARE MADE WITHOUT THE <br />1EAX�PR SS 1 AP�PROVA OFF QANE COUNTY ZON/I�G. <br />INITIALS°' h �� �VV f�C'i4� /0 / q <br />2. SUF2VEY ADVIS RY NOTE: A LOCATION SURGE MA E REQUI ED O VERIFY THAT THE <br />BUILDING I CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br />545-112 (12/05) GCS -single ' i V __-� L_ % / I 1 ' - 7 %-1 t <br />p s SC �' • �- -E'�C S S <br />G% <br />