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Ap.Iication Number:APP-20011 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT ZP2008RMI <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEVEN SAUER (608)347-1352 SAME AS OWNER (608)767-3718 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4178 RYAN RD <br /> (City,State,Zip) (City,State,Zip) <br /> BLUE MOUNDS,WI 53517 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION '/4 1/4 '/4 <br /> 0806-094-6180-0 MAZOMANIE 09 SE SE <br /> •:I:t•1:4:i r"/d']0]:14; HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject CURTISS RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 12072 <br /> \ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: El New CI Addition/Alteration CENSUS CODE <br /> RE-1 2.72 Description:SFR W/3 COV POR NO DECKS 101 - SFR <br /> CATEGORY ;�I Residential CI Commercial ❑Agr cultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR W/3 COV POR NO DECKS ❑Public Private 517912 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 2288 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �1 WETLAND EC/SW NO. <br /> B3 Yes ❑No ❑Yes X�I No ❑Yes A No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7214 <br /> 25 4423 <br /> Sq.Ft. 2791 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR INFLOOR $ 220,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 591.00 <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 earlier revoked in writing by the owner of the property. <br /> i l <br /> Owner&Agent hereby agree to comply with all Dane Coun : Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit A „) `f/as-1 O <br /> OFFICa USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIO DATE INITIALS <br /> CI Yes >I No 25 Apr 2008 RLB t? to/a DAsF . TE ... <br /> REVIEWED INITIALS 2nd INS CT N DAT INITIALS <br /> Initials ' / / 0 5Ce <br /> � 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS RE`SENTED. 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 Y MO[LCATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIAL `� J <br /> 2. SU EY 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 />