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Application Number:APP-22853 DANE COUNTY ZONING PERMIT Page 1 of ZONING PERMIT NO. ZP20080460 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ADAM GILE (608)669-7600 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 3613 COUNTY HIGHWAY 0 (City,State,Zip) (City,State,Zip) DEERFIELD, WI 53531 E-MAILADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0712-251-6197-0 DEERFIELD 25 NE SE J:fela:Is C/Ail'l1 441111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 3613 COUNTY HIGHWAY 0 to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 7 2 PLAT:ARMSTRONG'S PLAT OF LONDON,ARCHIBALD ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE R-3 .25 Description:NEW SFR FOUNDATION W/8'X24'X3'DECK 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:NEW SFR FOUNDATION W/8'X24'X3' DECK ❑Public 11 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION D ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 25 988 176 1164 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 20,000.00 2 PERMIT FEE Sq.Ft. Sq.Ft. $ 124.00 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 SIGNA' ..E: Owned'gent j DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit I •' .blo OFFICE U:,E ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1s INSP CTION TE INIyr LS x ❑No 08 Jul 2008 HJH3 7�.3 Q7Q & yh' DATE REVIEWED INITIALS 2nd INSPECTION DATE INIJ�AL vi Initials: t A ///4 /Q 7 KK Con florist 1. , 11 IS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT RE*UIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND O0D IF ANY MODIFICATIO 3R//��FF�ADE WITyO�U�THE'E EXPRESS Vy�21TTENZOVA;OF DANE o G U��O�NG.INITIALSn 2./0 URVEY RE UIR£MEN IIA LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING 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 OOF THE STRUCTURE IS ESTABLIS ,AND BEFORE ANY OTHER WORK IS DONE. G /q ,/1 L �Q 545-112(12/05) GCS-multi le // )�,V)(k L� 2 4 / r r L! t 3 if ` /'-°/�/ �"`S . I y� / et / L s / `�/ /e - /t Zi(3)(8)/dr2564)(61) Ly k/L- 2/&//E