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i Ap.lication Number:APP-26472 • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080780 OWNER INFORMATION • , 1. AOENTICCRM ACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN DULIN (608)837-4582 MILLER CUSTOM HOMES, INC. (608)837-6076 BILLING ADDRESS (Number,Street) ADDRESS (Number;Street) 7066 NORWAY RD 715 W. MAIN ST. (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 SUN PRAIRIE, WI 53590 E-MAIL ADDRESS E-MAIL ADDRESS • PARCEL NO. • .l4 - • • 1/s 1/4'/s SECTION 0911-191-8190-4 BRISTOL 19 NE NE •J ;PI Li 4Cil1/i'10I:I4- HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 7066 NORWAY RD to field verification.) • LOT BLOCK C S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 03555 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: X New ❑Ad: ion/Alteration CENSUS CODE A-1 9.92 Description:22'X 54' DET. GARAGE .328-OTHER NON-RES CATEGORY XI Residential ❑Commercial D Agricultural SEWER SANITARY PERMIT NO. ❑Other: • ❑Public I Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE ,'J. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND ECiE//NO. CI Yes No CI Yes Yes X,1 No ❑Yes >1 No HEIGHT(In Feet) BASEMENT i,t r-LGJR TOTAL SQUARE FEET 16 1188 1188 Sq.Ft. eg - PROJECT COST NO.OF STORIES 2nd FLOOR i r ' 50,000.00 PERMIT FEE 1 Sq.Ft. 139.00 1. I,the undersigned,hereby make application for a zoning permit only for tile Is and the work de:i il;ed herein and certify to the accuracy of that information. I further certify I am the owner of the property, or a duly autilsib iepresentative, and mny sign this pen'it application on behalf of the owner(s) of said property, and I have read and understand all of the connit°.:s of this permit ar ' will construct P ' p, Jject in compliance with those conditions. I understand that failure to comply with any provision of tlie permit renders it null oi id void and may result u1 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 apt .. if tire appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving our • I understand the possible adverse consequences of erecting any structi i . .:,',n an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an r al map ied area fh, ich the appliconl 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 pren zoning g inspector,_. c' or Dane Coon, Department of Planning & Development to determine compliance with the county's zoning ordinar:c is oons..nt is L,i id • is pm iffd con::r lic:rig with issuance of this zoning permit and terminating ■;i'h issuance of a certificate of court;i. • r r until earlier P.r, ed in riling S. owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGs'A1 ner/Agent DATE: o Ordinances.Any unauthorized the change from the infomnafion . `12�y or laps submitted will invalidate the permit. /4 SURVEY REQUIRED? DATE ISSUED dl(.A t I INI IA S p ❑Yes )41 No 09 Oct 2008 P,Y 1 /a.//6 (66 6 E REV'E1''/ED INITI/ 2nd IN Pt."/ OATFj1 INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY I LAN AS PRE:_// ED. ANY MO' I .,ATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROV, -COUNTY ll Ti IS PER TALL BE NULL AND VOID IF • •O`G.i ."TIONS ARE MADE WITHOUT THE ;WFE IT TEN DANE 'ITY ZONING. INITIALS ,, _,/ 2. SURV• ADVISORY NOTE: A LOCATION 5!!i -Y P,'1AY BE R '1RED TO VC -....-Y THAT THE BUILDING IS CONSTRUCTED ACCORDING TO 1' PLAN SUBM1 : D WITH Ti PPLICATION. 545-112(12105) GCS-single _�