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Ap•lication Number:APP-39067 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090726 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE BRETT SANDS (608)235-9292 DANIEL VALE (608)873-4453 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7058 JANISCH RD 3408 COUNTY HIGHWAY 138 (City,State,Zip) (City,State,Zip) MARSHALL,WI 53559 STOUGHTON, WI 53589 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0912-191-9605-0 YORK 19 NE SE MJ I(•]1;1111"/_1 rl rl1 441111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 7058 JANISCH RD LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 11732 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 14 Addition/Alteration CENSUS CODE RH-1 Description:SCREEN PORCH 12X13 - 434 - RES ADD CATEGORY X Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SCREEN PORCH 12X13 ❑Public XI Private NA ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND 1�1 FLOOD ZONE �t ,ioq WETLAND 1�1 EC/SW NO. X❑Yes No Cl Yes KV No ❑Yes No NA HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 14 156 156 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 62.00 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 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 provision 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 oficial map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located 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 void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane Coun S 117ATURE: 04vner/Age t ,' DATE: Ordinances.Any unauthorized change from the information ; or plans submitted will invalidate the permit � . l/�^ 1 . , -rl OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DAT INITI LS CI Yes No 16 Nov 2009 HJH3 /1 /F/0 t��Y ' DATE REVIEWED INITIALS 2nd INSPECTION DA INI nitials. / 1 L// 2/0 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PRO CT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE' d L - OI• A9t1' �C"- MODIF ATIONS AR ADE ITHOUT THE�-XP SS RITTENN PRO L OF DANE COUNTY ZONI .INITIALS �aC�r1c /0 0 r - k9 a-S S I 4 /WE/67 APPROVAL 2. SUF2VEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILQING IS CONSTRUCTED ACCORDING r„:). - FIE PLAN SUBMITTED WITH THIS APPLICATION. //�q" 4, d-. ca U !i -S( ) 545-112(12/05) GCS-single,. .n 7/i_^2 1 0