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Application Number: APP-20764 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20080264 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DALE PULVERMACHER (608)643-5069 WIPPERFURTH CONSTRUCTION (608)643-6613 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7526 STATE HIGHWAY 188 828 INDUSTRY RD <br /> (City,State,Zip) (City,State,Zip) <br /> SAUK CITY, WI 53583 SAUK CITY, WI 53583 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 Y4 <br /> 0907-074-8000-4 ROXBURY 07 SE NE <br /> IIII J ail»a CM.11 D1 P1;1 4*-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 7526 STATE HIGHWAY 188 <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> A 1 EX 20 Description:SINGLE FAMILY RESIDENCE WITH DECK 101 - SFR <br /> CATEGORY Ej Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public Private RECONNECTION <br /> ROAD CLASSIFICATION • REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A Li Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Li Yes No ❑Yes No ❑Yes No EC20080094 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 17.5 1622 2494 4116 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 220,000.00 <br /> PERMIT FEE <br /> 1 $ 359.00 <br /> Sq.Ft. Sq.Ft. <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 earlier revoked in writing by the owner of the property. <br /> Owner 8 Agent hereby agree to comply with all Dane County r 0„...DATE: <br /> Ordinances.Any unauthorized change from the information 1 S O •' <br /> or plans submitted will invalidate the permit xA it dt I ��/ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS rst INS' ' D T INITIAL <br /> ❑Yes1 No 16 May 2008 SSA1 fC� Ce <br /> DATE REVIEWED INITIALS 2nd INSPECT•N D•T INI •LS <br /> ,; <br /> Initials: J//l, / 5 4ulf6/,1 <br /> C. dill.': 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTE1. ANY •DIFICATION Tr-TH:•ROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VO a 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 />