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F • <br /> • • ' Application Number:APP-28577 <br /> • t <br /> DANE COUNTY ZONING PERMIT Page 1 of ZONING PERMIT NO. <br /> ZP20080880 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RICHARD DIEHL (608)695-0567 KF SULLIVAN CONSTRUCTION (608)257-2289 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> RR 1 BOX 332 1314 EMIL ST., <br /> (City,State,Zip) (City,State,Zip) <br /> LODI,WI 53555 MADISON,WI 53713 <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> SCOTT @KFSULLIVAN.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0909-222-9721-0 VIENNA 22 NW SE <br /> :Isla 1 a th'/_1 r7 r]:7*1-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 5466 NORWAY GROVE SCHOOL RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> A-1 EX 7.26 <br /> Description:50 X 75-SQ FT COMMERCIAL STRUCTURE 328-OTHER NON-RES <br /> ��// <br /> CATEGORY ❑Residential �I Commercial Li Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other 50 X 75 SQ FT COMMERICAIL STRUCTURE ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> C 63/193 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT Ut FLOOR TOTAL SQUARE FEET <br /> 22 3750 3750 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 116,666.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 433.00 <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 corn nce or until earlier revoked in writing by the owner of the property. <br /> Owner 8 Agent hereby agree to comply with all Dane County SI NA,U- Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information ,, 2 <br /> or plans submitted will invalidate the permit e �� ',�/ I'—13'0 O <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Ye %i l No 13 Nov 2008 SCW1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> Conde ions: 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 V.01 NY <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 /> i 1.0 Sao yu <br /> 545- 12 (2//05) GCS-multi /' 4 <br /> �7 Il G Ira. ti-Ate r SG�r .S /vo` —/OQ 4k <br />