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Ap•Iication Number:APP-38216 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090630 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRADFORD LOGSDON (608)203-5642 BUILDING CONCEPTS, INC. (608)575-3295 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7454 MEADOW VALLEY RD 3175 CAMDEN LN <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON, WI 53562 SUN PRAIRIE,WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BCINCI @VERIZON.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-054-0166-0 MIDDLETON 05 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 7454 MEADOW VALLEY RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 136 PLAT: PRAIRIE HOME ESTATES-1ST ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 14 Addition/Alteration CENSUS CODE <br /> A-1 .754 Description:ENCLOSE DECK INTO SCREEN PORCH 14X21 434 - RES ADD <br /> CATEGORY ,> I Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other:ENCLOSE DECK INTO SCREEN PORCH 14X21 ❑Public X1 Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND �t FLOOD ZONE �/, WETLAND EC/SW NO. <br /> ❑Yes ,� >I <br /> No ❑Yes No ❑Yes A No NA <br /> HEIGHT(In Feet) BASEMENT ist FLOOR TOTAL SQUARE FEET <br /> 22 272 272 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 20,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 70.00 <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 SIG ' •URE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit ,j `© 2 'f <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes I No 02 Oct 2009 HJH3 //� � `(7 '- � <br /> p/� �^ DATE REVIIE1 ED INITIALS ` 2nd INSPEQTIOI�UATE�/ 1 INI ALS <br /> Initials: r\. J : 1v� 10� lJ1IV C d f, .-7 (t3c1 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions. REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V IF NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS S <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE p <br /> 545-112(12/05) GCS-single <br />