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Ap•Iication Number:APP-23603 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080533 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> • OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MATTHEW MABIE (608)347-5420 FARWELL POOLS (608)222-1730 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2018 UPHOFF RD 3818 COUNTY RD.AB <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE,WI 53527 MADISON, WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> FARWELLTECH @HUGHES.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-142-9003-0 COTTAGE GROVE 14 NW SW <br /> LI:i•1 J 1:11IMc1'1'l;4 ** HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2018 UPHOFF RD <br /> LOT BLOCK C.S.M.NO.91 PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 10648 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: El New ❑Addition/Alteration CENSUS CODE <br /> RH-1 2 Description:20 X 40 POOL 329 - OTHER <br /> CATEGORY ,tga Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other:20 X 40 POOL ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 8524 ❑Yes ❑No <br /> SHORELAND ��Ir FLOOD ZONE �y WETLAND �� EC/SW NO. <br /> CI Yes pl No Oyes X]t No Oyes )4 No <br /> HEIGHT(In Feet) BASEMENT ts,t FLOOR TOTAL SQUARE FEET <br /> 800 800 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 40,000.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 110.00 <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 fpr-the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier re ke in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU•Owner/Agent DATE. <br /> Ordinances.Any unauthorized change from the information / 7731(6, <br /> or plans submitted will invalidate the permit 9 / , <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN TION DA INITI 2,4 <br /> ❑Yes ;�I No • 31 Jul 2008 SCW1 2_7/0g <br /> Initials QQ DATE REVIEWED INITIALS 2nd 7CTIO37TEg/ INIT LS <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY CATIIONS(�A� EJWITHOU� E PR( W TT/6,E VA�L OFF qAN COr O/NING. <br /> INITIALS" le / G� /�r �'$//����SS//�. O l6 J xl— er./6 C6 .�/I <br /> 2. SURVEY ADRY NO A LOCATI N URV MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING T THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> b if)(?IP ► �545112(12/05) GCS-single oJ 044--S,A-4 <br />