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• Ap•lication Number:APP-37685 DANE COUNTY ZONING P ; RMIT ZONING PERMIT NO. ZP20090600 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JAMES KIEHL (608)249-x492 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5315 LIGHTHOUSE BAY DR (City,State,Zip) (City,State,Zip) MADISON, WI 53704 E-MAIL ADDRESS E-MAIL ADDRESS JAKIEHL @CHARTER.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0809-271-0667-4 WESTPORT 27 NE NE J it];A 4 l IM_I r1 r7 it HOUSE NO. ST.DIR:CTION STREET NAME ST.TYPE (Assignment e new riaddress s subject 5315 LIGHTHOUSE BAY DR LOT BLOCK C.S.M.NO.or PLAT NAME 37 PLAT: BRICKSON PARK,WESTPORT ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: II New XI Addition/Alteration CENSUS CODE R-3 .254 Description:RES ADDN ANa DECK 434 - RES ADD CATEGORY ,g Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:RES ADDN AND DECK ❑Public V Private NA ROAD CLASSIFICATION REZONE NO. C.U.-.NO. VARIANCE NO. DEED RESTRICTION D ❑Yes ❑No SHORELAND FLOOD ZONE may{ l�7 WE LAND EC/SW NO. X Yes CI No ❑Yes X11 No ❑Yes ,rat No 20090234 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 11 750 750 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 40,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 106.00 1. I,the undersigned,hereby make application for a zoning pe it only for the location and the work described herein and certify to the accuracy of that 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 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 those conditions. I understand that failure to comply with any ••rovision of the permit renders it null and void and may result in an enforcement action. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any o icial map to the applicants'land; • No such official map is applicable,or,if such map is appli .ble,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employee- in giving these assurances; • I understand the possible adverse consequences of erectin• any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property lo•-ted within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and oid. 3. I, the undersigned, hereby consent to the entry on the per itted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zon ng ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certific-te of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane Co my - ATU: : Owner/Agent // TE: Ordinances.Any unauthorized change from the informs •n �2�7 /C• / ,a06. G�. _ or plans submitted will invalidate the permit •071 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED VIALS 1st INSPECTION DATE INITIALS ❑Yes Xl No 21 Sep 2009 HJH3 AtA�� DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS 7 1.THIS APPROVAL BY DANE COUNTY ZONING I-ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVA BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOI F MODIFICATIONS ARE MADE WITHOUT THE EXP-ESS WRITTEN APPROVAL OF DANE COUNTY ZONING 2. SURVEY ADVISORY NOTE: A LO ATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCO-DING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single )1//)1) _ /�I] Q `// e oc‘ N