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• Application Number: WEB-21094 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20080318 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DANIEL ORMAN (608)767-4930 CHRIS AULTMAN (608)574-5987 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 9504 UNION VALLEY RD PMB 4723 CTY YZ PMB (City,State,Zip) (City,State,Zip) BLACK EARTH,WI 53515 DODGEVILE,WI 53533 E-MAIL ADDRESS E-MAIL ADDRESS CHRIS.AULTMAN @MORTONBUILDINGS.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0706-121-9541-6 VERMONT 12 NE SE -J:fel a 4 'l ll A 11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 9504 UNION VALLEY RD to field verification.) LOT BLOCK C.S.M.NO.pr PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 09174 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ]New ❑Addition/Alteration CENSUS CODE RH-4 25.7 Description:DETACHED GARAGE-30'X40' 438 - GARAGE CATEGORY ]Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI Other: ❑Public Private NR ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION -� C 7376 - ❑Yes U No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No NOT REQUIRED HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 18.67'OA 0 1200 1200 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 63,000.00 1 0 0 PERMIT FEE Sq.Ft. Sq.Ft. $ 140.00 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&Agent hereby agree to comply with all Dane County SIG, • URE: Owner/ nt DATE: Ordinances.Any unauthorized change from the information , \ C� � or plans submitted will invalidate the permit o`er OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT a • r 0 INITIAL O Yes ]No 29 May 2008 KLS / l DATE REVIEWED INITIALS 2nd INSPECTIO .AT: ' INITI9 Initials: , `7 I / Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. Y M 'DIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT HAL BE NULL AND VQJD I ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL x 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. 545-112(12105) GCS-multi