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Ap.lication Number:APP-24361 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080601 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KELLY JT REV LIVING TR (608)575-8135 SPRECHER CUSTOM HOMES <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3083 VILAS RD 7594 VALLEY VIEW RD., <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE,WI 53527 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/• <br /> 0611-061-9500-9 PLEASANT SPRINGS 06 NE SE <br /> 1111:1;(0114 it 1/A rl rl:A 44111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3083 VILAS RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gI Addition/Alteration CENSUS CODE <br /> A-1EX 13.2 Description:FAMILY ROOM W/CRAWL SPACE AND DECK 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Li Other: ❑Public XI 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 Xi No MYes CI No XI Yes Li No <br /> HEIGHT(In Feet) BASEMENT FLOOR TOTAL SQUARE FEET <br /> 760 760 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 36,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 107.00 <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 SI NATURE: Owner/A• nt / <br /> . I DATE: <br /> Ordinances.Any unauthorized change from the information . / , gi .-P 1,^v2 <br /> or plans submitted will invalidate the permit ! /� <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIO DATE' I �f INIT•4 or <br /> CI Yes No 20 Aug 2008 DJE1 f Z <br /> DATE REVIEWED INITIALS 2nd INSPECT!D DATE II / INITIALS <br /> Initials: Z L95 )i <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT 'EQ S THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF - r• • ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS►+a' ■ <br /> 545-112(12/05) GCS-single <br />