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• Ap.Iication Number:APP-26710 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080787 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ALLAN YOUNG (608)846-2204 RODNEY W. HELT (608)848-8881 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7051 PARKSIDE CIR 8114 PAULSON ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST,WI 53532 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> R.H ELT.AIA @ATT.N ET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-353-7335-0 MADISON 35 SW SE <br /> .,:t•],I:i C/1101 rl:]441-11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2901 PERRY ST <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CERTIFIED SURVEY MAP: CSM 10546 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 14 Addition/Alteration CENSUS CODE <br /> C-2 •4 Description:INTERIOR ALTERATION-TRUCK(AMBULANCE)TERMINAL 328-OTHER NON-RES <br /> CATEGORY ❑Residential M Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: INTERIOR ALTERATION-TRUCK(AMBULANCE)TERMINAL 14 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 /> ��yy <br /> ❑Yes No ❑Yes ,f�1 No ❑Yes ,cy No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 16 960 960 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 35,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 270.00 <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 County SIGN TUR Owner/Agent d; DATE: <br /> Ordinances.Any unauthorized change from the information <br /> � �c / /�� <br /> or plans submitted will invalidate the permit fc-7t--Z,/ , .,. /U .. 3 ..oe <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes )1 No 10 Oct 2008 pmk2 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 41-A7) <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY clFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS r <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(12105) GCS-single J c �..[ �., / <br /> /� �/ i1 0 - coi1J/ . V1IQIe �':i'<-4 <br />