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Application Number:APP-23612 DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. ZP20080538 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE . DONALD SELMER (608)222-4091 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 4396 VILAS HOPE RD (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-071-9160-7 COTTAGE GROVE 07 NE SW a a•]J 4:i 1"/_1'14:4 441111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 4396 VILAS HOPE RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 2 CERTIFIED SURVEY MAP: CSM 03113 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE A-1 EX 1.15 Description:27'X40'SHED ADDITION 328-OTHER NON-RES CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:27'X40'SHED ADDITION ❑Public / 1 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. 006 /Q Yes ❑No El Yes No ❑Yes No 2 006 0 c3 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 14 1080 1080 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR kg FLOOR $ 31,000.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 131.00 • 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 nn n or plans submitted will invalidate the permit 7-3 -t�8 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP),i TIO • T� /� INITf�S� Yes ❑No 31 Jul 2008 pmk2 / U t� A2 T DATE REVIEWED INITIALS 2nd INSPEC QN DAT O t� INITTIL'' i Initials: i) 1 S• (////3 ? Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VO IF ANY M�IFZCAT O�S R MSD�WITH /THE P1J ESS WRITTEN A ROYAL OF DE C�N ZONING.INITIALS , , 2.SURVEY QQ E : ArLOC TA ION U SURVEY REQUIRED COMPLI CE/WITHG ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. 545112(12/05) GCS-multi �1 rti / // /3 ` Q g 3 43; m ""'0 C tc-,t Eh—, go p I cal J(0 /6 ;xciEty,9013,/ AA_ /6,10.g