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Ap•Iication Number:APP-38632 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090674 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MICHAEL DUESING (608)838-9340 HOMESTEAD BLDRS. 222.2122 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4208 MORRIS PARK RD 4606 PFLAUM RD. <br /> (City,State,Zip) (City,State,Zip) <br /> MCFARLAND, WI 53558 MADISON,WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MDUESING @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0611-272-8410-0 PLEASANT SPRINGS 27 NW NE <br /> J:l•l 4 b 11"/d'7 0 ii 4:11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2057 SPRING RD <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 4 CERTIFIED SURVEY MAP: CSM 12213 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 21 New ❑Addition/Alteration CENSUS CODE <br /> RH-3 8.32 Description:SINGLE FAMILY HOME 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public ,I Private 520418 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 9670 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE b{ WETLAND EC/SW NO. <br /> X <br /> ❑Yes X No ❑Yes No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1614 3330 5776 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 425,000.00 <br /> $32 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 483.00 <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 SIGNATU-E: Owner/Agent D E: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit , . �4 , ID as 0 9 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN P CTION ATE INITIALS <br /> ❑Yes ;�INo 20 Oct 2009 DJE1 /I/11 07 SAS <br /> DATE REVIEWED INITIALS 2nd INS CTI DAT INIT L,� <br /> Initials: / /1 (• ✓(RjXJ <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO T• PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND a IF 'b • <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS g , <br /> 545-112(12/05) GCS-single <br />