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Ap•Iication Number:APP-34395 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090245 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOHN BORNITZKE (608)764-5025 MORSHAUSER BUILDERS 608-764-5025 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 750 FISCH RD 1354 BURVE RD <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL,WI 53559 DEERFIELD,WI 53531 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0912-273-8820-0 YORK 27 SW NW <br /> J:Z4 JI 4:i 4"NA DI PI d HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 750 FISCH RD <br /> LOT BLOCK C.S.M.NO.9 PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 07155 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> RH-1 2.0 Description:FOUR SEASON PORCH AND DECK 434 - RES ADD <br /> CATEGORY V Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public )I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 5575 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes V No ❑Yes V No ❑Yes V No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 13 604 604 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 314 FLOOR $ 3,800.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 95.00 <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 SIGN.TU E: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit / �,...e .-----�7 =' <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIO DATE INITI S <br /> Yes No 27 May 2009 SSA1 />� <br /> DATE REVIEWED INITIALS 2nd INS EC �DAT INITI L <br /> Initials: <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> C ditionS: PROJECT QUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF A O FICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS 1.----.1 <br /> 2. SU VEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CO T UCTED ACCORDING TO THE PLAN SUBMITT�E/�D//WITH THIS APPLIC TIO/yA•'. <br /> 1\545-112(12/05) GCS-single / ✓ n r�+ 1!�. s V t / Y V "�Z /�1 <br /> 2,_j-le c/I ?-49• <br />