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Ap•libation Number:WEB-35529 <br /> DANE COUNTY ZONING P : RMIT ZONING PERMIT NO. <br /> ZP20090395 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ROBERT KING (623)931- 779 CAPITAL BUILDERS INC. (608)222-9480 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4902 MOUNTAIN VIEW 6400 GISHOLT 105 <br /> (City,State,Zip) (City,State,Zip) <br /> GLENDALE,AZ 85302 MADISON,WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CAP ITALB U I LD E RS @TDS.N ET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0607-262-9200-0 SPRINGDALE 26 NW SW <br /> M :Mel*IaiN' DI DI:4*1111 HOUSE NO. ST.DIR CTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2086 ERB RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.gr PLAT NAME <br /> 3 CERTIFIED SURVEY MAP: CSM 11967 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: RI New ❑Addition/Alteration CENSUS CODE <br /> A-1 4.5 Description:SFR W/DECK W/SCREEN PORCH W/PORCH 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: SFR W/DECK W/SCREEN PORCH W/PORCH ❑Public :I Private 520330 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 1��{{ <br /> ❑Yes )4 No ❑Yes .+�I No ❑Yes )?.1 No NA <br /> HEIGHT(In Feet) BASEMENT 14 FLOOR TOTAL SQUARE FEET <br /> 16.5 2453 3835 6288 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR kg FLOOR �P 410,000.00 <br /> O O PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 522.00 <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 zon ng 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 8,Agent hereby agree to comply with all Dane County SIGNATURE: Owner/A/ t <br /> Ordinances.Any unauthorized change from the information /Or -7_ ,--6 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE A INITIALS <br /> ❑Yes I No 08 Jul 2009 HJH3 A 1 l LI-0 Y 1' MT1 <br /> DATE REVIEWED ��w O� INITIALS I4 2nI INSPE TIOATE ' INITIALS K 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION`ATO THE <br /> Amie 7-Conditions. PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIF CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> I <br /> 2. SU 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(12/051 GCS-single <br />