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Ap•lication Number:WEB-27741 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080815 <br /> OWNER INFORMATION ( AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MIDDLETON, TOWN OF (608)833-5887 SAME AS OWNER (608)833-5887 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7555 OLD SAUK <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> FHANKEL @TOWN.MIDDLETON.WI.US FHANKEL @TOWN.MIDDLETON.WI.US <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-202-8001-9 MIDDLETON 20 NW NE <br /> 2('1 J 4 zi Call D1'1:1* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 7555 W OLD SAUK 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: ❑New RI Addition/Alteration CENSUS CODE <br /> A-1 30.3 Description:CONCESSION STAND ADDITION 26X10 329 — OTHER <br /> CATEGORY LI Residential g Commercial LI Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: CONCESSION STAND ADDITION 26X10 ❑Public gl Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes X No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 12 0 260 260 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 1:4 FLOOR $ 1,500.00 <br /> 0 PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 0.00 <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 SIGNATURE. wner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information l <br /> or plans submitted will invalidate the permit A _, &/ NiQ/2-3/ E <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INT j 4 ;TE INIT�; <br /> ❑Yes ;{ � <br /> X.1 No 23 Oct 2008 HJH3 ` f D 1 <br /> DATE REVIEWED INITIALS 2nd I ,APE J 131 INI ,S/ • <br /> Initials: F 4- f ( � �"`/ <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS P' SEN ED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUN ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> it INITIALS <br /> 2. FEE EXEMPT PER MUNC. OWNED BUILDING. HJH <br /> 545-1t2(12/05) GCS-single <br />