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, Application Number:APP-24336 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZP20080598 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> AARON JACOB (608)838-3356 WASHA CONSTRUCTION INC (608)838-8318 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2890 SKYCREST CIR 4915 FARWELL STREET <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 MCFARLAND, WI 53558 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ADILLMAN @WASHA.WS <br /> PARCEL NO. TOWNSHIP SECTION y4 1/4 1/4 <br /> 0611-092-0673-2 PLEASANT SPRINGS 09 NW NE <br /> •17;1•]»:ir'/c\1].J;4 4411111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2890 SKYCREST CIR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 13 PLAT: PLEASANT OAKS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New L I Addition/Alteration CENSUS CODE <br /> R-1 0.72 AC Description: SCAPEWELL"-AT AND BELOW-GRADE EXIT STRUCTURE 434 - RES ADD <br /> CATEGORY residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: <br /> ❑Public Private NOT REQUIRED* <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes Igrkko <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No NOT REQUIRED <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 0 23.8 0 23.8 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR d FLOOR $ 3,000.00 <br /> O 0 0 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 52.99 <br /> • <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 SIGNATURES Owner/Agent) ("DATE: <br /> Any unauthorized change from the information �I <br /> or plans submitted will invalidate the pennit /'/* "e,„,„ � 11710? <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION D E INITIA S <br /> ❑Yes XI No 19 Aug 2008 KLS /Z�7Z�O S/ <br /> v DATE REVIEWED INITIALS 2nd INSP CTION AT INITIALS <br /> Initi . Z S . 7Z- OR S <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRE ENT D. ANY ODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NU�Vgtq„IEANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.I IALS � <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-multi <br />