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_ .UN/04/2008/WED 11 :48 AM FAX No. P. 002 <br /> 06/04/088 10:03 60B-267-1540 DANE CO PLANNING PAGE 02/03 <br /> __{{ • Application Number:APP-21529 <br /> DANE COUNTY ZONING. PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20000344 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DONALD KERL (608 j 767-2804 MEIGS INC (608)787-2729 <br /> EILUNOADDRESS(Number,Street) I ADDRESS (Number,Street) <br /> 2215 EAST ST i 1104 MILLS ST., <br /> (City,Slate,apt I (CMy,Slate,zip) <br /> CROSS PLAINS,WI 53528 I BLACK EARTH,WI 53515 • <br /> E•MAILADDRESS I t.MAILAODRESE <br /> PARCEL NO TOWNSWIP SECTION A I% ', <br /> 0807-082.8740-0 1 BERRY 08 NW SE <br /> PROPERTY ADDRESS HOUSENO. ST DIRECTION STREET NAME ST.TYPE <br /> (AsslgnmtoOWverrfrratrbn)/ssabfecr 9157 l US HIGHWAY 19 <br /> LOT BLOCK C.S.M.NO.oc PLAT NAME <br /> 1 'CERTIFIED SURVEY MAP:CSM 11878 <br /> ZONING DISTRICT PARCEL ACREAGS PROPOSED PROJECT! 0 i Addition/Alteration CENSUS COOS <br /> A-2(8) - 13.84 p� 36 X 44 SHED 44 - GARAGE <br /> CATEGORY 0Residential 13 Commercial 0Agr♦cufurai SEWER SANITARY PERMIT NO. <br /> ❑Olhar.36 X 40 SHED- ❑Pubic Private 517986 <br /> ROAD c2.ASSIMICATION REZONE NO. i C.U.P.NO. VARIANCE NO, oe,F.c RESTRICTION A ❑Yea ID No <br /> SHORELAND p1,OOb ZONE WETLAND •EC/SW No. <br /> aYoa No aTor No El Yo 414 No <br /> HEIGHT(In Feet) BASEMENT let FLOOR TOTAL SQUARE FEET <br /> 13 1440 1440 <br /> Sq.Ft _i S4Pt. PROJECT COST <br /> NO.OF STORIES ,Z • •0• Om(FLOOR $ 23,900.00 <br /> 1 i PSR$11 PER <br /> aq.PL 1i sy.Pt� - $ 158.00 <br /> 1. I.the undersigned,hereby make application for a toning permit only for the location and the work deserted herein and certify to the accuracy of that <br /> information.I further certify I am the owner of the protrty,or a duly authorized representative,and may sign this permit application on behalf of the <br /> owners)of said property,and I nave read and and tend all of the condition,of this permk End will construct the project in compliance with <br /> those conditions,I understand that failure to comply wOh any provfaion of the pent renders II null and void and may result In an enforcement action_ <br /> 2. I,the undersigned,hereby certify that i <br /> • I have made a dtigent Inquiry into the applicability dt any official map to the applicants'tend: <br /> • No such official map le applicable,or,If such map id applicable,ilia apptovel of the appropriate city or village has boon obtained: <br /> • I have not relied upon any statements of County a *yaw In giving these assurances; <br /> • I understand the possible adverse consequences 0 reefing any structure within an officially mapped area without the proper approval of the city or <br /> village involved,Any zoning permit Issued for a pro erty located within an official mapped area far which the applicant has not obtained the proper <br /> permit from the epproprt•te village or city shell be npl and Void. _ <br /> 3. I.the undersigned, hereby consent to the entry on ce premises by zoning Inspectors of the Dana County Department of Planning& <br /> Oe lopment to determine complian With the noun s zoning ordinances.This consent b valid for the period commencing with Issuance of this <br /> zoning permit and ttrmineting with issuance of a rtlflcate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to compiyWltfh all Dane Cotmty ' Y 7; a ant DATE. <br /> Oi*tarces,Any unauthorized change from the*filiation J <br /> or plans submfttad wilt Mvalld la the permit • '4 ° /yl x� �pe <br /> OFFICE U.E ONLY <br /> SURVEY REQUIRED? DATE ISSUED] ' INITIALS 1'LINB N OA I <br /> o v.« Na 04 Jun 2b08 SCW1 Z de <br /> DATE RSVIEWEO IM11ALS 2nd IN ON TO INITIAL 1.Malt* liA ,--.-- <br /> THIS APPROVAL BY DANE COUNTY ZIDNINO IS ONLY FOR THE PLAN AS PRESENTEO. .MODIFICATION TO THE PROJECT <br /> Condltlolls, R OUJRSS THE EXPRESS WRITTEN APPROVAL we DANE COUNTY ZONING. THIS PERMIT SHALL ea NULL AND VIAIOJFANY <br /> MODIFICATIONS ARE MADE WITHOUT T�tE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING,IN171ALS tl1 . <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(12105) d:a-muds <br />