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i <br /> Ap•libation Number:APP-35851 <br /> • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090425 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TAMARA CHERNEY (608)877-2557 ALAN RAPRAEGER (608)333-3460 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3969 N WILNOR DR 230 ST. CROIX LN <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 MADISON,WI 53705 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ACRAPRAE @WISC.EDU <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-281-9860-0 DUNN 28 NE SE <br /> J 1.]J4ar"/c1 1111:1441111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3969 N WILNOR DR <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 4 CERTIFIED SURVEY MAP: CSM 01347 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> A-1 EX 1.033 Description:REPLACE DECK 12X14 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:REPLACE DECK 12X14 ❑Public 741 Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND �y �yt FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ pi Yes No ❑Yes ,C]I No ❑Yes X No NA <br /> HEIGHT(In Feet) BASEMENT 15.1 FLOOR TOTAL SQUARE FEET <br /> 168 <br /> 5 168 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 850.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 63.00 <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 co •'..;.---••—••••._-.rlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane O.,unty SIGN al.2 r/Age <br /> Ordinances.Any unauthorized change from the information f/, /` ( . 7 `/ <br /> or plans submitted will invalidate the permit (/� (,C ( / �(/ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INS ECrTIO DATE INITIAL <br /> ❑Yes >I No 20 Jul 2009 HJH3 1(00�E c <br /> DATE REVIEWED INITIAL 2nd INSPEC 10 DA I <br /> iga >;J� 5 9 )1?/ d <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS 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 Di I ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZON . ITIAL <br /> D <br /> L-- <br /> 545-112(12/05) GCS-single <br />