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• <br /> Ape libation Number:APP-21489 <br /> • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080334 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREGORY BREUNIG (608)370-3430 DAN SCHOEPP (608)592-4882 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7533 FISH LAKE RD N1819 WEST HARMON ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> SAUK CITY, WI 53583 LODI, WI 53555 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-094-8400-6 ROXBURY 09 SE NE <br /> asl JI 1;t ii-/_1 r10:I*SIM HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 7533 FISH LAKE RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 08030 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: SI New ❑Addition/Alteration CENSUS CODE <br /> ' RH-1 2.43 Description:40'X60'POLE SHED 328-OTHER NON-RES <br /> CATEGORY $f Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI other:40X60' POLE SHED ❑Public )I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 6373 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes XNo ❑Yes •8I No ❑Yes XNo <br /> HEIGHT(In Feet) BASEMENT lAt FLOOR TOTAL SQUARE FEET <br /> • <br /> 14 2400 2400 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 25,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 230.00 <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. s ;nsent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of complia•ce or u til earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIG 'TORE: 0 ner/' rent j DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit _ I . L: . _., _6 -a <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE O D. ,A INITIAL <br /> pi) No 03 Jun 2008 mk2 1 <br /> C DATE REVIEWED INITIALS 2nd INSP C ION ' , INITIALS Initials: <br /> J � ��� (� <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN A4R:SENTE s 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 A','L •"i IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS mil' <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-single <br />