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• <br /> Application Number:APP-23456 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20080513 . <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CARLA AUGUSTINE (608)873-8295 BREKKEN &BREKKEN (608)873-7327 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 504 HANERVILLE RD 511 DANKS RD., <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON, WI 53534 STOUGHTON,WI 53589 <br /> E-MAIL ADDRESS �V`\/ E-MAIL ADDRESS <br /> in V MONTYB @MERR.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0511-264-85'( DUNKIRK 26 SE NW <br /> • OUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 346 HANNERVILLE RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: n New ❑Addition/Alteration CENSUS CODE <br /> A-1EX 35 Description:SFR 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Li Other:SFR ❑Public Private 518064 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. • <br /> Oyes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT j FLOOR TOTAL SQUARE FEET <br /> 14 1691 3243 4934 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 200,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 420.00 <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 .1.1".. ed 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 L c.1 s itions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provisio\ m,.er .,' renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby certify that: V <br /> • I have made a diligent inquiry into the applicability of any official map to the -•p14, . <br /> • No such official map is applicable,or,if such map is applicable,the approval of a a••ro ' ity 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 offici y 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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit . <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP TION DATE INITIA$�, <br /> ❑Yes l No 25 Jul 2008 SCW130�08 `� 1� <br /> DATE REVIEWED INITIALS 2nd IN ECT D E INITIfy S6 <br /> Initials: 5i <br /> Condit ions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESEN D. Y MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT HALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <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 />