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I 1111 II I I I III I II I I I I I III *•44 .65171 ' 1 * - PRIVATE ONSITE WASTEWATER TREATMENT DANE COUNTY . SYSTEM COVENANT: ADDITION/REMODELING REGISTER OF DEEDS �� Z e n_ ' LL` DOCUMENT # This covenant is between � �S � 4465171 .grantors,and the••County of Dane,regarding the private onsite wastewater 09/05/2008 09:21 AM treatment system(POWTS)on•the following described parcel(s)located in the Town of ytAi< Exempt-#: . . . _. /3 T / N,R 4,1 E. Rec. Fee: 11.00 in the /4 �l quarter of Section , Pages: 1 Type or neatly print the legal description of your property in the space below. If you need more space, use the reverse side or attach a copy of the deed.) �_• , Record this document.with the Register of Deeds -«µ1G' t'_�U (`, 1-‘r\';1 S.41,1.zk7 .Rrof LLL / 1 3 ` 11,E If I ,1UL 1 4 .2008 i L / I, C.Juwt(�ans t &39aS Ap.libation Number:APP-25110 • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080679 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE SKALITZKY BROTHERS LLC (608)513-6515 RYAN SKALITZKY 608-513-6515 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7341 STATE HIGHWAY 89 7341 STATE HIGHWAY 89 (City,State,Zip) (City,State,Zip) COLUMBUS, WI 53925 COLUMBUS,WI 53925 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0912-132-8500-7 YORK 13 NW NW 11111;.1[Z•1,1 ik W/11111:14411/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 7343 STATE HIGHWAY 89 to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New Addition/Alteration CENSUS CODE A-1 EX 39.9 Description:20'X36'HOME ADDITION 434 - RES ADD CATEGORY ;I Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:20'X36' HOME ADDITION ❑Public )I Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A ❑Yes (3 No SHORELAND FLOOD ZONE ��{{ WETLAND EC/SW NO. ❑Yes )4 No ❑Yes X]I No ❑Yes )4 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1440 14 720 720 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 15,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 158.00 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 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 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 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. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained;