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aAp.lication Number: APP-25998 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080746 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> THOMAS LINLEY (608)798-2564 SAME AS OWNER (608)220-7862 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 8131 W HILLPOINT RD <br /> (City.State,Zip) (City,State,Zip) <br /> CROSS PLAINS, WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> TSLINLEY @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0807-252-8951-0 BERRY 25 NW NW <br /> •1arl:»A11/d 011;1441M a HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 8131 W HILL POINT RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 12542 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2]New Addition/A eration � CENSUS CODE • <br /> LC-1 1.71 Description:70'X80' SHED /� - • rV ���Y 328 OTHER NON RES <br /> CATEGORY ❑Residential Commercial ❑Agdcul al �. . SEWER SANITARY PERMIT NO. <br /> ❑Other:70'X80' SHED �i ❑Public )I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION . <br /> C 9897 746 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �} WETLAND EC/SW NO. <br /> X Yes ❑No ❑Yes XU No ❑Yes )4 No SE2008-0189 <br /> HEIGHT(In Feet) BASEMENT FLOOR TOTAL SQUARE FEET <br /> 5600 5600 <br /> 22 Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR • $ 50,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 300.00 <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: Owner/Agent DATE: . <br /> Ordinances.Any unauthorized change from the information ` � � O <br /> or plans submitted will invalidate the permit �' _ - „` <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN P-1.-ION DAT INITI S <br /> ❑Yes A No 30 Sep 2008 . pmk2 3 /c/ j O <br /> DATE REVIEWED INITIALS 2nd INSPECTIt D (E ^�� INITI LS <br /> Initials: �(V,'f/ <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 AN MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> 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 /> 545-112(12/051 GCS-single <br />