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Ap•lication Number:APP-23030 <br /> DANE 0 NTY ZONING PERMI ZONING PERMIT NO. <br /> ZP20080480 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME P :,E <br /> JCL RENTALS LLC (920)98: 7567 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> PO BOX 568 I. <br /> (City,State,Zip) (City,State,Zip) it- 0 <br /> LAKE MILLS, WI 53551 r <br /> E-MAIL ADDRESS E-MAILADDRESS 1(Ai <br /> . . <br /> _____ <br /> PARCEL NO. I TOWNSHIP sEciv / 1/4 / 1/4 1/4 <br /> 0612-024-:, •:-• HRISTIANA _ SE NE <br /> .RO' A•l•l:l*-1111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 292 RODNEY RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 4 CERTIFIED SURVEY MAP: CSM 11614 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> C-2 4.433 Description:96'X 50'X 24'CONTRACTOR STORAGE BLDG 438 - GARAGE <br /> CATEGORY ❑Residential A Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public )4 Private 518056 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED R STRICTION <br /> C 9346 Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> �y{ <br /> ❑Yes XI No ❑Yes b{No ❑Yes A No ES <br /> HEIGHT(In Feet) BASEMENT 1s FLOOR TOTAL SQUARE FEET <br /> 24 4800 4800 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 80,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 360.00 <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 permitt-• •remises by zoning inspectors of the Dan- w= my Department of Planning & <br /> Development to determine compliance with the county's zoo. • ordinances. This consent is valid for the perio• corn -ncing with issuance of this <br /> zoning permit and terminating with issuance of a cer cate of compliance or until earlier revoked in w ng by t'- owner of the property. <br /> Owner&Agent hereby agree to comply with all r•ne County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from th information `''� AP �_ <br /> or plans submitted will invalidate the permit / Al a /- -7-H-og <br /> OFFICE USE 3NLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS INITIALS <br /> AYes 0 N 14 Jul 201: KL. <br /> DATE REVIEWED I• • 2nd INSPECTION DATE INITIALS <br /> Initial :;:- y7 <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 ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIAL �Z <br /> 2. SURVE REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ 0 <br /> 545-112(12/05) GCS-single <br />