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Application Number:APP-27886 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. <br /> ZP20080828 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGE■ •117•-• •- 1, ' PHONE <br /> BR = h. BOOTH (608)455-3233 - 'ME A' OWNER <br /> c 'LING ADIRESS (Number,Street) ADDRESS (Number,Street) <br /> 2 457 PA LOW LN �S•7 <br /> J (City,•-e,Zip) (City,State,Zip) • <br /> :'OOKLYN,WI 53521 <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> BOOTH 1937 @VERIZON.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-303-0265-4 RUTLAND 30 SW NE <br /> •;I:{61»:i Call/0 CA 4:11/11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 357 PAGELOW LN <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 5 PLAT:ACRES GREEN <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New J Addition/Alteration CENSUS CODE <br /> R-1 Description:11.7'X 4'X 2' STEP ADDN TO EXIST DECK 434 - RES ADD <br /> CATEGORY Residential CI Commercial CI Agricultural .7 SEWER SANITARY PERMIT NO. <br /> ❑Other 11.7'X 4'X 2'STEP ADDN TO EXIST DECK CI Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes 0 N ❑Yes No ❑Yes No t"'-jj <br /> c <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3 47 Sq.Ft. Sq.Ft. PROJECT COST <br /> $ <br /> NO.OF STORIES 2nd FLOOR 3�FLOOR 20PERMIT FEE 1 Sq.Ft. Sq.Ft. $ <br /> cl 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 <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 conse. . .• for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or . it earlier revo'-. . writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SI 'IA -E: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information 11 J . /0-a /-D�' <br /> or plans submitted will invalidate the permit 4 IBM <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED Iii INITIALS 1st INSPECTION DATE INITIALS <br /> Yes CI 24 Oct 2008 _RLB _. 1 <br /> DATE REVIEWED INITIALS 2 �SPE�TION DATE INITIALS <br /> Initial : p /� " <br /> Con 1 fIS: 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 I IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITI <br /> 2.SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETB CKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME <br /> THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 545-112(12/05) GCS-multi <br />