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Ap•lication Number:APP-20681 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080259 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ERIC SCHWARTZ (608)575-7180 FARWELL POOLS (608)222-1730 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 5540 LINCOLN RD 3818 COUNTY HIGHWAY AB <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 MADISON, WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> FARWELLTECH @HUGHES.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-103-9150-9 OREGON 10 SW SW <br /> Ma t'1;4 a rW_1 D1 D1:4*11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 5540 LINCOLN RD <br /> LOT BLOCK C.S.M.NO.e PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 07430 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> A-1EX 16.2 Description:20'X50' INGROUND POOL 329 — OTHER <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:20'X50' INGROUND POOL ❑Public :14 Private <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �1 WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes ,e]I No ❑Yes ,et No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 0 1000 1000 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR lid FLOOR $ 50,000.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 125.00 <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 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 earlierffe gked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIG NATU- Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information / S /57, 29 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes I No 15 May 2008 pmk2 Co. 13, ) aP <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: .6-119 I D�> .DE CO,.t3. <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIR S THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY i I (CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVE 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-single <br />