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• Application Number:APP-25085 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZP20080671 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CHRISTOPHER SCHENK (608)836-3811 SAME AS OWNER• (608)444-3074 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4744 VOSEN RD <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON,WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> LCSCHENK @CHORUS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-052-9100-9 MIDDLETON 05 NW SW <br /> �:t4 4:I 14/11 DID]:1 44111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4744 VOSEN RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.2r PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 06746 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New N Addition/Alteration CENSUS CODE <br /> A-1 2.09 Description:24'X24'GARAGE ADDITION 438 - GARAGE <br /> CATEGORY Residential Li Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:24'X24'GARAGE ADDITION ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes 121 No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 12 576 576 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 1P 8,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 93.00 <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 j 1/111t, <br /> or plans submitted will invalidate the permit / `j / .1, A ' 4 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI N'A • INITIALS � <br /> Li <br /> Xl No 11 Sep 2008 pmk2 <br /> • �� I_4) Q �3 J <br /> DATE REVIEWED INITIALS 2nd INSPECTIO DAI I ALS <br /> Initials: (5 r l A,lt1 " v <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. •NY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE <br /> USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. <br /> 545112(12/05) GCS-multi <br />