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r <br /> Ap•Iication Number: APP-20012 <br /> • <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080187 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KATHLEEN JUNEAU (608)767-2000 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 5450 MILLER FARM RD <br /> (City,State,Zip) (City,State,Zip) <br /> BLACK EARTH,WI 53515 <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0806-233-8680-3 BLACK EARTH 23 SW NW <br /> J 1.1 J 4:i t-MAIM;I*HMI HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 5450 MILLER FARM RD <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 2 CERTIFIED SURVEY MAP: CSM 06455 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: RI New ❑Addition/Alteration CENSUS CODE <br /> RH-3 12.6 Description:40'X56' DETACHED GARAGE/SHOP 438 - GARAGE <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other:40'X56' DETACHED GARAGE/SHOP ❑Public $I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 4983 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE ��11 WETLAND EC/SW NO. <br /> ❑Yes XNo ❑Yes XVNo ❑Yes XNo <br /> HEIGHT(In Feet) BASEMENT l_st FLOOR TOTAL SQUARE FEET <br /> 2312 <br /> 24 2312 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $ 35,395.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 223.00 <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 /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent tye f tfr.y L Br4nan DATE: <br /> Ordinances.Any unauthorized change from the information u- f <br /> or plans submitted will invalidate the permit � / / �D 1 f <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION D E INIT S <br /> ❑Yes j No 25 Apr 2008 pmk2 6100 <br /> DATE REVIEWED INITIALS 2nd INSPEC ON TE INI LS <br /> Initials: 6 JoL9 4.. / <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESEIV D. 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 ANY ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SUR Y 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 />