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Ap•lication Number:APP-25214 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080686 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RICHARD CASTELLO (608)437-3249 SAME AS OWNER (608)513-4036 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1724 SYVRUD RD <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB,WI 53572 <br /> E-MAIL ADDRESS E E-MAIL ADDRESS <br /> RICH CASTJLLO @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0606-353-8080-8 BLUE MOUNDS 35 SW NE <br /> J:T•I J 4Ia,1 ' ]01:4 1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1724 SYVRUD RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CERTIFIED SURVEY MAP: CSM 03852 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> RH-3 10.5 Description:36'X 26'X 18' DET STOR SHED 328-OTHER NON-RES <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO <br /> ❑Other:36'X 26'X 18' DET STOR SHED ❑Public )I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 2656 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND p�t rEC/SW NO. <br /> )1 <br /> Yes ❑No ❑Yes )4 No ❑Yes No ~20080 Q 7 .5 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 18 1008 1008 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR '3rd FLOOR $ 25,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. 126.00 <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 <br /> or plans submitted will invalidate the permit 7G.E7 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ; <br />