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�"I" 9$t-3?�a "f (mix s tiln e Ap•Iication Number:APP-25078 <br /> '1°'1°14'DANE COUNTY ZONING PERMIT 56' l� h ZONING PERMIT NO. <br /> ( o.3 - ,24,-/-15 cp ZP20080668 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOSEPH MOTISI (608)513-3756 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 8404 COUNTY HIGHWAY V <br /> (City,State,Zip) (City,State,Zip) <br /> SAUK CITY,WI 53583 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CHARI @CHORUS.NET <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-232-9340-0 ROXBURY 23 NW SW <br /> M J;t'l21 A r/.1'1∎1 i 4:111111 HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 8404 COUNTY HIGHWAY V <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 11607 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration CENSUS CODE <br /> RH-2 5.04 Description:48'X 72' POLE SHED 328-OTHER NON-RES <br /> CATEGORY :KI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public g Private • <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION 7 <br /> B 9351 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> y��II <br /> ❑Yes pl No ❑Yes )4 No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3456 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 5,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 309.00 <br /> 1. I,the undersigned,hereby make application fnr a'nninn n=•mi•^..i..s-- --•• .. • and certify to the accuracy of that <br /> information. I further certify I )ermit application on behalf of the <br /> owner(s) of said property, a post-it° Fax Note 7671 Date !c I/Li /OCi l ' (' :t the project in compliance with <br /> those conditions. I understarn y result in an enforcement action. <br /> JO ( ,t �i From C t h <br /> 2. I,the undersigned,hereby ce To e (viz, 5� ✓�� �� 5 <br /> • I have made a diligent ingt Co./Dept. !�QQ 1 ' ` Co. <br /> • No such official map is apr �J- 4�"I a i been obtained; <br /> • I have not relied upon any phone#C Phone# ��• I understand the possible a the proper approval of the city or <br /> village involved.Any zonin■ Fax# Fax# a•,t9� _j, cfln cant has not obtained the proper <br /> permit from the appropriate �3 �Z �" <br /> 3. I, the undersigned, hereby c , _.. ..._ r,�,.... . uy curnuny inspectors oT 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 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT ON D TE INITI <br /> ❑Yes >41 No 11 Sep 2008 DJE1 1 280 <br /> DATE REVIEWED INITIALS 2nd INSPEC ON ckTE INIT`I <br /> Initials: 1 16O CL <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 545-112(12/05) GCS-single <br />