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• Application Number: ZP-20030996 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20030996 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE CRAIG &TAMMY KIRCH (608)850-3899 TAMMY KIRCH (608)850-3899 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5864 WOODLAND DR 5864 WOODLAND DR (City,State,Zip) (City,State,Zip) WAUNAKEE, WI 53597 WAUNAKEE, WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0808-043-2067-4 SPRINGFIELD 04 NW SW No J:(01 J I a WILIIII1:14:1111111HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 7344 SPRINGHELT D R LOT BLOCK C.S.M.NO.Q PLAT NAME 7 SPRINGHELT ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New LI Addition/Alteration CENSUS CODE R-1A 1.88 AC Description: 101 — SFR CATEGORY LI Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. MOther:New ❑Public Private 20458 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E 0 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes LI No ❑Yes LI No LI Yes LI No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 28.000 1802 3465 7307 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 350,000.00 2040 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 578.03 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 8,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 05 Aug 2003 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.CANTILEVERED SECTIONS OF BUILDINGS MUST COMPLY WITH SETBACK AND YARD REQUIREMENTS.DECK IS INCLUDED IN THIS PERMIT. RAISED Conditions: BOATHOUSES,WHICH ARE NOT COVERED OR ENCLOSED MAY PROJECT INTO A REARYARD AREA NOT MORE THAN 12 FT.ALL STRUCTURES EXCEPT BOATHOUSES,PIERS AND BOAT- HOISTS MUST BE LOCATED AT LEAST 75 FEET FROM THE ORDINARY HIGH WATER MARK. - APPLICANT INITIALS- THIS PROPERTY IS LOCATED IN A SHORELAND DISTRICT.FILLING,GRADING,(INCLUDING DISPOSAL OF CONSTRUCTION SPOILS),BRUSH OR TREE REMOVAL,REQUIRE A SPECIAL.EXCEPTION PERMIT. PLEASE CONTACT DANE COUNTY ZONING(266-4266) OAT- HOISTS MUST BE LOCATED AT LEAST 75 FEET FROM THE ORDINARY HIGH WATER MARK. - APPLICANT INITIALS-THIS PROPERTY IS LOCATED IN A SHORELAND DISTRICT.FILLING,GRADING,(INCLUDING DISPOSAL OF CONSTRUCTION SPO11S), BRUSH OR TREE REMOVAL,REQUIRE A SPECIAL EXCEPTION PERMIT. PLEASE CONTACT DANE COUNTY ZONING(266-4266) 545-112(12/05) GCS-single