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• • Application Number:APP-38773 <br /> BANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20090691 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAMES WOLFE (608)834-0071 GAIL RIEDASCH (608)347-4914 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 916 THOMAS DR 1377 CIRCLE DRIVE <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 SUN PRAIRIE,WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> GRIEDASCH @CHARTER.NET <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 <br /> 1/4 1/4 <br /> 0810-022-0243-0 BURKE 02 NW NE <br /> El J t•1 J 1711V/14 DI 1*f-MI HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 3578 AUDREYS PASS <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 23 PLAT: GEHRKE'S KNOLL <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ]New ❑Addition/Alteration CENSUS CODE <br /> A-1 .72 SFR WITH PORCH <br /> Description: 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER <br /> SFR 9 SANITARY PERMIT NO. <br /> FR WITH PORCH <br /> ❑Other: ❑Public Private 520421 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E <br /> ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes ❑No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR • TOTAL SQUARE FEET <br /> 24 2321 3534 5855 <br /> * Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 200,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 489.00 <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 revo d in w it' y`the owner of e property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/• !-nt a 1 i i 'ed ja) <br /> Ordinances.Any unauthorized change from the information 4 ./ <br /> or plans submitted will invalidate the permit i• , I'o <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes CI No 29 Oct 2009 pmk2 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> Conditio : 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 VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. EROSION CONTROL: OWNER/AGENT MUST CONT' T THE DANE COUNTY DEPARTMENT OF <br /> PERMIT IS EO RREDUSIGNATURE24/-`/j0 H% / DE j/RMI D IF AN EROSION C/PNTR L <br /> 545-172(12/05) GCS-multi / �? <br /> fJJjç0 /...)) t S-,Q,ey , 0k <br /> C.:4(//) „0 i) 1. ) <br />