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= & PANE COUNTY ZONING PERMITI ZONING PERMIT NO. <br />Application Number: APP -1450 <br />ZP20061020 <br />OWNER INFORMATION <br />AGENT/CONTRACTOR INFORMATION <br />OWNER NAME PHONE <br />AGENT/CONTRACTOR NAME PHONE <br />SCOTT WILSON (608) 575-7790 <br />SAME AS OWNER <br />BILLING ADDRESS (Number, Street) <br />ADDRESS (Number, Street) <br />2861 HENSHUE RD <br />13 Dec 2006 <br />(City, State, Zip) <br />(City, State, Zip) <br />MADISON WI 53711 <br />E-MAIL ADDRESS E-MAIL ADDRESS <br />PARCEL NO. • SECTION �/s �/s 1/s <br />0610-071-8710-7 DUNN 07 NW NE <br />• <br />HOUSE NO. ST. DIRECTION <br />2824 <br />STREET NAME <br />DOROTHY <br />ST. TYPE <br />DR <br />(Assignment of new address is subject <br />to field verification.) <br />LOT <br />BLOCK <br />C.S.M. NO. or PLAT NAME <br />VOID IF A ODIF CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br />INITIALS <br />METES AND BOUNDS: METES AND BOUNDS <br />ZONING DISTRICT <br />PARCELACREAGE <br />PROPOSED PROJECT. 5d New ❑ Addition/Alteration <br />CENSUS CODE <br />R -1A <br />1.0 <br />Description:SFR NO DECK <br />101 -SFR <br />CATEGORY Residential ❑ Commercial ❑ Agricultural <br />SEWER <br />SANITARY PERMIT NO. <br />❑ Other: <br />❑ Public Private <br />50181 <br />ROAD CLASSIFICATION <br />REZONE NO. <br />C.U.P. NO. <br />VARIANCE NO. <br />DEED RESTRICTION <br />C <br />8423 <br />❑ Yes ❑ No <br />SHORELAND <br />FLOOD ZONE <br />WETLAND <br />EC/SW NO. <br />❑ Yes A No <br />�{ <br />❑ Yes b1 No <br />)93 Yes ❑ No <br />SE20060194 <br />HEIGHT (In Feet) <br />BASEMENT <br />1st FLOOR <br />TOTAL SQUARE FEET <br />36 <br />3180 <br />3742 <br />8882 <br />PROJECT COST <br />Sq.Ft. <br />Sq.Ft. <br />$ 475,000.00 <br />NO. OF STORIES <br />2nd FLOOR <br />3rd FLOOR <br />1960 <br />PERMIT FEE <br />2 <br />Sq.Ft. <br />Sq.Ft. <br />$ 716.15 <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 <br />Ordinances. Any unauthorized change from the information <br />or plans submitted will invalidate the permit <br />OFFICE <br />�IG�URE: Owner/Age <br />USE ONLY <br />DATE: <br />Z /3� <br />SURVEY REQUIRED? <br />DATE ISSUED <br />INITIALS <br />s SPECTION DATE <br />INITIALS <br />>I Ye ❑ No <br />13 Dec 2006 <br />SSA1 <br />DATE REVIEWED <br />INITIALS <br />2nd INSPECTION DATE <br />INITIALS <br />Initials: <br />THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br />Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br />VOID IF A ODIF CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br />INITIALS <br />2. SUR EQUIREMENT: 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 FOUNDATION/ <br />545-112 (12/05) GCS -single <br />