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Ap•Iication Number: APP-25720 <br /> DAN COUNTY ZONING PERMIT ZONING PERMIT NO. • <br /> ZP20080721 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAMES LINDEMANN (608)838-8206 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4259 MAHONEY RD <br /> (City,State,Zip) (City,State,Zip) <br /> MCFARLAND, WI 53558 • <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JFL0102 @YAHOO.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-174-8050-2 DUNN 17 SE NE <br /> :T•1J4 :I 4*1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4259 MAHONEY 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 gI Addition/Alteration CENSUS CODE <br /> A-1 EX 5 Descdption:SHED ADDITION 437-NON-RES ADD <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SHED ADDITION ❑Public g Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND yyam�{ FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes ,W No ❑Yes )No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 750 <br /> 18 750 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 8,500.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 106.00 <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 co - t is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or u it e. ier revoked in writing by the owner of the property. <br /> Owner 8,Agent hereby agree to comply with all Dane County SIGNATUR-. •w r/Age1 t DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit ', t l �i <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIAL_ 1st INSPECTI N DAT INITIAL <br /> CI Yes !1 No 24 Sep 2008 CHS l0 z° O S / <br /> DATE REVIEWED INITIALS 2nd INSP TION D INITIAL <br /> Initials: � / /07 <br /> • <br /> . <br /> RO T REQUI THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID P•I• ODI= TIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVE AD' k ' NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS -INSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />