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• Application Number: APP-21845 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20080378 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ERIC GREGERSEN (i08)-7-98-2496--- SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) Q}6 r eifi ADDRESS (Number,Street) <br /> 3004 SPRINGFIELD RD tyv• �2 <br /> (City,State,Zip) w , VII G ZI 0 (City,State,Zip) <br /> CROSS PLAINS,WI 53528 0 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> EGG9700 @CHARTER.NET t- 'L <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-061-6045-0 MIDDLETON 06 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4715 SUNSET RIDGE DR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 5 PLAT: SUNSET RIDGE ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> A-1 .7 Description:SFR 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NQ_ <br /> ❑Other:SFR ❑Public Private 51F°2—C-) <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 Li Yes No ❑Yes No 6 <br /> HEIGHT(In Feet) BASEMENT ig 1 s FLOOR TOTAL SQUARE FEET <br /> 25 2086 3367 6041 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 269,800.00 <br /> 1 588 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 503.00 <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 SIG NAT 1, EI Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information / ,, <br /> or plans submitted will invalidate the permit C� U <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TIOt,D TE INITI <br /> X Yes 0 N 12Jun2008 CHS1 0 .i <br /> 1. <br /> !�' DATE REVIEWED INITIALS 2nd INS-E' I• INITIA S dor, <br /> Initials: / i'z -1 <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOIDJ,E ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS /0 <br /> 2. APPLICANT HAS APPLIED FOR AND HAS AN APPROVED POWTS PERMIT, AND <br /> WILL FURNISH SAID SAME TO DANE COUNTY ZONING BY JUNE 18 2008. <br /> 545-112(12/05) GCS-multi <br />