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Application Number:APP-29891 <br /> DANE COUNTY ZONING PERMIT Page 1 of ZONING PERMIT NO. <br /> . ZP20080928 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAMES MUIR (608)655-1213 SAME AS OWNER (608)345-4783 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 815 CLARKSON RD <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL, WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION y4 1/4 1/4 <br /> 0812-041-8010-0 MEDINA 04 NE NE <br /> •,:Tel II 4;II IV/d'1,1:I4f HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 815 CLARKSON RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.91 PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 12299 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: in New ❑Addition/Alteration CENSUS CODE <br /> RH-2 4.8877 Description:28'X 26'X 16'DET RES GAR 438 - GARAGE <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 9690 Cl Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes ❑No LI Yes No Yes ❑No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 16 728 728 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR It FLOOR $ 4,600.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 209.00 <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 8 Agent hereby agree to comply with all Dane Coun NATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit _` 4 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st • -ECTION TE INITIAL <br /> ❑Yes XI No 10 Dec 2008 RLB �Z S�/� <br /> DATE REVIEWED INITIALS 2nd INSPECT�NpATE/O � INIT,—"`"ri <br /> 1 /• /// LL�i fl <br /> Conditions: 1. S APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATI• •THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND`:` <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS` ' ����_ <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 />