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Application Number:APP-24777 <br /> • DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20080648 <br /> i OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SPENCER-DOBSON REV TR,RICHARD D&CANDICE A (608)201-2802 CHRIS COOK (608)230-5699 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1939 MCKINLEY AVE 2711 RICHARDSON STREET <br /> (City,State,Zip) (City,State,Zip) <br /> BELOIT,WI 53511 FITCHBURG, WI 53711 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION % t/4 1/4 <br /> 0811-124-0354-0 SUN PRAIRIE 12 SE NE <br /> [(•]J 4 it AWA'1.1 l HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 5882 PROSPECTOR LN <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 54 PLAT: DROVERS WOODS FIRST ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: N New ❑Addition/Alteration CENSUS CODE <br /> R-1 91 Description:12'X12'SHED 328-OTHER NON-RES <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A 9201 <br /> ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 11 144 144 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR FLOOR '$ 2,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 61.00 <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: Own-r/A•-nt , <br /> Ordinances.Any unauthorized change from the information , Q �U�-7 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI N DAT INITIALS <br /> ❑Yes XI No 05 Sep 2008 SSA1 c, /F/0 q 4/..46 <br /> DATE REVIEWED INITIALS 2nd INSP0C/ION Dfi IN L <br /> Initials: /jj �I((//C/(ff}[a/ 1.1 <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY 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 RE MADE WITHOUT T E EXPRESS WRITT ROYAL OF E NTY NING.INITIALS 1.,;(..,- <br /> 3 I a_6 %d,�. a 9m 8' /0, 25( 1 a,2•6(ti iijd'c e-aL r CIA__ <br /> 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDI G SHALL NOT BE <br /> 1 Np2,.._ivr,„,,y57,,,, s,,,,. s2s..Cp fyhM5 1)22 _5L_I X77;4 t ,614 voi <br /> 545-112(12/05) GCS-multi <br />