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Application Number:APP-36523 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090493 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMAT:ON <br /> OWNER NAME PHONE AGEN'CON -i•CTOR NAME PHONE <br /> SCOTT LASZEWSKI (608)798-0089 S E ■ OWNER // (608)798-3980-- . <br /> 8051 ADDRESS (Number,Street) A DRE'•S (Number,Street) 6(d).41 <br /> 1 <br /> 8051 BURR OAK TRL � � �\ <br /> (City,State,Zip) ( 'ty, .t e,Zip) <br /> CROSS PLAINS,WI 53528 <br /> E-MAIL ADDRESS E-MAIL'DDRESS , / / <br /> CRES • CHORUS.NET i . <br /> . if___ _A:14 4 Or, <br /> PARCEL NO. TOWNSHIP SECTION r4 1/4 1/4 <br /> 0707-013-7110-0 CROSS PLAINS 01 SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 8051 BURR OAK TRL • <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 77 �PpLAT: OAK VALLEY ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Li New LJ Addition/Alteration CENSUS CODE <br /> R-1 1.7 Description:TWO STORY ADDITION TO HOUSE 41'X32' 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other: <br /> ❑Public Private LETTER <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes ❑No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1t FLOOR TOTAL SQUARE FEET <br /> 20.0 895 1439 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 150,000.00 <br /> 2 544 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 158.00 <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 , riting by the owner of the property. <br /> Si :E: Own, /Age DATE: <br /> Owner&Agent hereby agree to comply with all Dane County 9 �' s <br /> Ordinances.Any unauthorized change from the information ' n <br /> or plans submitted will invalidate the permit I � GreS`>`c�"f t t4 -/2._.,..a9 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED ITIALS 1s INSPEr ION D E INITIALS oet Xl Yes ❑No 12 Aug 2009 S Al <br /> l'. j <br /> DATE WED1 INI S 2nd INSPECTI D T€ II MTJQLL$ <br /> Initials: Z \'/ 0C 3 Q I 0 "��YY"AAllJJ11 <br /> Conditio S. 1.THIS APPROVAL BY DANE VC NTY ZONING IS ONLY FOR THE PLAN AS PRESENTID. ANY MODIFICATION TO THE PROJECT <br /> C <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF 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 ZONING ORDINANCE SETBACKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT <br /> THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 545-112(12/05) GCS-multi <br />