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. Application Number:APP-38002 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090614 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> « NOW LIVING TRUST (608) 770-5851 TRIDUKE INC (608)356-2332 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 9526 SILVERSTONE LN 908 8TH ST., <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593-9185 BARABOO,WI 53913 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AJSHIN @YAHOO.COM BARBI @CRAFTSMANBUILDING.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-323-6045-0 MIDDLETON 32 SW SE <br /> - :t•1 J 4:i EWA 01'] 1=F< 111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 3247 SARACEN WAY <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 5 PLAT: GLACIERS WOODS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: > ]New ❑Addition/Alteration CENSUS CODE <br /> A-1 93 Description:SFR WI DECKS&PORCH 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR W/DECKS & PORCH ❑Public Private 520398 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes 0 N <br /> SHORELAND FLOOD ZONE WE`LAND EC/SW NO. <br /> Yes ❑No ❑Yes 'L]No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT L FLOOR TOTAL SQUARE FEET <br /> 32 3104 5642 11590 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 850,000.00 <br /> 2 2844 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 920.00 <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: Owner/Agent D•TE: <br /> Ordinances.Any unauthorized change from the informaton <br /> or plans submitted will invalidate the permit ■' i-,� ' 1 1-2X-di <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPEC ION ATE INIT L <br /> .C]I Yes ❑No 28 Sep 2009 SCW 1 `0 ao\ <br /> DATE REVIEWED 9.- O 1 INITI' i \ / 2nd IN1]ION D3 E( � IN ALIy S <br /> Initials���►,�... <br /> Con, Lions: 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 VO�p1FQNY� <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL <br /> 2. EROSION CONTROL: OWNER/AGENT MUST CONTACT THE DANE COUNTY DEPARTMENT OF <br /> LAND&WATER RESOURCES(608- ;;3647 TO HAV IT D TERMINED IF AN EROSION CONTROL <br /> PERMIT IS REQUIRED. SIGNATUR•��ar i' 1'ja AC i,1 DATE q-)t <br /> 545-112(12/05) GCS-multi <br />