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Application Number:APP-22583 DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. ZP20080419 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JILL FISHER (608)575-3930 JG DEVELOMENT, INC. (608)437-6181 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5562 STATE HIGHWAY 113- 4070 E BRIGHAM RD (City,State,Zip) (City,State,Zip) WAUNAKEE,WI 53597 BLUE MOUNDS,WI 53517 • E-MAIL ADDRESS E-MAIL ADDRESS • JLFISHER @TDS.NET MICHELLE @JGDEVELOPMENT.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0807-253-8100-8 BERRY 25 SW NE M J:Zr7 J 4 A C NA Dl V N 44111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 5135 COUNTY HIGHWAY P to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 2 CERTIFIED SURVEY MAP: CSM 03056 . ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: n New ❑Addition/Alteration CENSUS CODE A-1 EX 10.97 Description:SFR WITH DECK(EXISTING SFR BURN DOWN) 101 - SFR CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. C3 Other: D Public Private LETTER ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B • ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. DYes No ❑Yes No ❑Yes No NOT REQUIRED HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 29 1007 1491 3106 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 350,000.00 2 608 PERMIT FEE • Sq.Ft. Sq.Ft. $ 283.00 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 B Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit / %-. G/6,48 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPEC ION',ATE INITIAL D Yes 1 No 26 Jun 2008 SSA1 'J 0 8 DATE REVIEWED INITIALS 2nd INSPE TIO DAT I I Initials: —1-.../../_.S. 91 Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. NY MODI !CATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS It/S • 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-multi