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I <br /> Ap•lication Number:APP-35635 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090411 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KEITH COMSTOCK (608)225-8053 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 788 TAYLOR LN <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0511-201-8000-8 DUNKIRK 20 NE NE <br /> :Mel 4 i W/:.1'1 D1:,*1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 788 TAYLOR LN <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 0 New XI Addition/Alteration CENSUS CODE <br /> A-1 EX 18.7 Description:DECK ADD'N.ION BACK OF RESIDENCE 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: I ❑Public $I Private <br /> ROAD CLASSIFICATION REZONE NO. C.J.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �y{ WETLAND EC/SW NO. <br /> X Yes ❑No ❑Yes ,�No ❑Yes A No SE2009-0101 <br /> HEIGHT(In Feet) BASEMENT 9st FLOOR TOTAL SQUARE FEET <br /> 651 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 4,700.00 <br /> PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 99.00 <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 Ida'map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applic ble,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employee in giving these assurances; <br /> • I understand the possible adverse consequences of erectin 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 to ated 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 riting by the owner of the property. <br /> 4, <br /> Owner&Agent hereby agree to comply with all Dane County SIGNAT : • O ' DATE: <br /> Ordinances.Any unauthorized change from the information � � <br /> or plans submitted will invalidate the permit - I Mgt X .-/ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TION DAT / INITIALS <br /> Yes ❑No 14 Jul 2009 DJE1 /Z.'7/Q` s <br /> DATE REVIEWED INITIALS 2nd I S ECTION D /TE (/o5 <br /> INITIALS <br /> Initials: L /1.THIS APPROVAL BY DANE COUNTY ZONING S ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND�,/� NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR, AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE 0 <br /> 545-112(12/05) GCS-single <br />