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Ap•lication Number:APP-25812 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080729 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRUCE HOFFLAND (608)655-4112 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 5958 COUNTY HIGHWAY TT <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL,WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0812-082-9670-3 MEDINA 08 NW SE <br /> NI 1:f•7»A i'/_1 rl rl:i*ill/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 5958 COUNTY HIGHWAY TT <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gl Addition/Alteration CENSUS CODE <br /> R-3 Description:24'X 16'X 14'SUNRM ADDN TO SFR 434 - RES ADD <br /> CATEGORY XI Residential Li Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:24'X 16'X 14'SUNRM ADDN TO SFR ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 9785 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE ��yy{{ WETLAND EC/SW NO. <br /> ❑Yes A No ❑Yes JAI No ❑Yes A No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 14 384 384 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 10,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 79.00 <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 Coun <br /> Ordinances.Any unauthorized change from the information w, <br /> or plans submitted will invalidate the permit ��l 00, 1\0,4, / 0-- -0 a <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st I -PE TION ATE IN IALS <br /> ❑Yes XI No 25 Sep 2008 RLB /D j i/O9 <br /> DATE REVIEWED INITIALS 2nd INS ECTIOli DATE INITIALS <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions : PROJECT QUI ES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> V ONS RE MADE WITHOUT THE EXPRESS WRITTEN APP OVAL OF E COUNTY.Z <br /> I W-/f35Z-1 feyJ1- ,% <br /> /0 7 i t t r F o a t-sls r e,,,-1 4 1 t✓/r y.°4-vat( FO rN--- A h r i-- t— <br /> 545-112(12/05) GCS-single `/ <br /> g l '(d Q S c co G 10< �C3)() 10.2A-60/.l y 6AT c-2--/the <br />