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• Application Number:ZP-19922667 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP19922667 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DEER CREEK SPORTSMENS CL 845-9874 DEER CREEK SPORTSMENS CL 845-9874 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 8475 MILLER RD 8475 MILLER RD (City,State,Zip) (City,State,Zip) VERONA,WI 53593 VERONA, WI 53593 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL. NO. TOWNSHIP SECTION 1/4 1/4 1/4 0507-101-8050-8 PRIMROSE 10 NE NE J:t•1 A 4 a th'IA Bl 17:1**III HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 8475 MILLER RD LOT BLOCK C.S.M.NO.gr PLAT NAME 1 5671 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE RE-1 Description: 318-AMUSEMENT CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. Other:New ❑Public M Private 0 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 0 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 0.000 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 65,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 198.00 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; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ❑No 11 Nov 1992 06/25/93 PDA DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 06/25/93 PDA 1.THIS ADDITION MAY NOT BE USED AS A BEDROOM.USE AS A BEDROOM REQUIRES APPROVAL FROM DANE COUNTY ENVIRONMENTAL HEALTH AND MAY ALSO REQUIRE AN { INCREASE IN THE SIZE OF THE SEPTIC SYSTEM.THIS BUILDING SHALL BE USED FOR STORAGE OF PER-SONAL PROPERTY INCIDENTAL TO A RESIDENTIAL USE AND SHALL NOT BE Conditions: USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE OR HUMAN HABITATION.DECK IS NOT INCLUDED IN THIS PERMIT.M FOR STRUCTURES IS 63 FEET FROM THE CENTER OF THE RIGHT-OF-WAY OR 30 FEET FROM THE RIGHT-OF-WAY LINE,WHICHEVER IS GREATER.REQUIRED SETBACK FROM SEPTIC SYSTEM IS 10 FEET FROM FIELD 5 FEET FROM TANK. LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.REQUIRED SIDE YARD 10 FEET EACH SIDE REQUIRED REAR YARD 25 FEET. A RESIDENTIAL USE AND SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE OR HUMAN HABITATION. DECK IS NOT INCLUDED IN THIS PERMIT. M FOR STRUCTURES IS 63 FEET FROM THE CENTER OF THE RIGHT-OF-WAY OR 30 FEET FROM THE RIGHT-OF- WAY LINE, WHICHEVER IS GREATER.REQUIRED SETBACK FROM SEPTIC SYSTEM IS 10 FEET FROM FIELD 5 FEET FROM TANK.LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION REQUIRED TO VERIFY LOCATIONAL COMPLIANCE. REQUIRED SIDE YARD 10 FEET 545-112(12/05) GCS-single