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r , <br /> Application Number: APP-23670 <br /> DANE COUNTY ZONING PERMIT Page 1 of ZONING PERMIT NO. <br /> ZP20080551 <br /> OWNER INFORMATION 1 AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GY MILEY (608) 795-9903 MEIGS, INC. (608) 767-3729 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 10200 COUNTY HIGHWAY Y PO BOX 412 <br /> (City,State,Zip) (City,State,Zip) <br /> MAZOMANIE,WI 53560 BLACK EARTH, WI 53515 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KEN @MEIGSBUILDS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0906-241-8501-0 MAZOMANIE 24 NE NW <br /> J:(•1 a 4 it 1v/A 11'1:4 4-4.11111 HOUSE NO ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is subject 9595 COUNTY HIGHWAY Y <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.nrr PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> RH-3 9.07 <br /> Description:SFR 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR ❑Public Private 518077 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B <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 /> 25 768 3880 5416 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 450,000.00 <br /> 768 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. <br /> $ 456.00 <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 c• mencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of complian - or until earlie -. in wri' • by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County -GNATU- : Ow •r/ DATE: <br /> Ordinances.Any unauthorized change from the information i !,Q, <br /> or plans submitted will invalidate the permit. Gv� i''Y-Oe/ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ><l No 04 Aug 2008 SCW1 •p ir$ Oa AE-) Pie <br /> InitialsA <br /> 1�p DATER D to INITIAL 2nd I S EC O DATE INI LS <br /> Conditions: 1.THIS APPROVAL BY DANE CO ONING IS ONLY FOR THE PLAN AS PRE NTE . 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 ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS' i l/ /- <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 />