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Application Number: WEB-24153 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20080687 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> VICKI KENYON (608)798-3252 LARRY HEFTY (608)437-5372 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 5492 NIESEN RD 102 LINCOLN . <br /> (City,State,Zip) (City,State,Zip) <br /> CROSS PLAINS,WI 53528-9729 MT. HOREB,WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> VKENYON @UWSA.EDU HEFTYCONSTRUCTION @CHARTERINTERNET.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0807-241-9350-8 BERRY 24 NE SW <br /> •J:Z4 J 4l11/.\'III l* 1M HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 5492 NIESEN RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> B CERTIFIED SURVEY MAP: CSM 01802 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New Addition/Alteration CENSUS CODE <br /> A-1 EX 1.15 Description:16'X 22' 4-SEASON SUNROOM 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other 16'X 22' 4-SEASON SUNROOM ❑Public Private N/A <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C <br /> C1 Yes r..]No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT tit FLOOR TOTAL SQUARE FEET <br /> 16 352 352 704 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 56,450.00 <br /> 1 0 0 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 103.00 <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 SIGNATURE: 0 nerlAgent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit A i��; ,` �/6 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1s 47 CTIO 'TE t 'INITI. <br /> D Yes .X`)No 15 Sep 2008 HJH3 � / <br /> DATE REVIEWED INITIALS 2nd INSPEC ON ATE INITIALS <br /> ZN <br /> Initials: t1 ( <br /> Conditions: 1. HIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED •AN MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOJq <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS UU <br /> 2. SURVEY 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(12/05) GCS-multi <br />