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A4-4- k ` G 6 • - 3 / - 2 2 / Ap•licatiDn Number:WEB 35621 4. • ZONING PERMIT NO. DANE COUNTY ZONING P : RMIT ZP20090412 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DAVID JOHNSON (608)825-•284 SAME AS OWNER (608)825-6284 BILLING ADDRESS (Number, --t) ADDRESS (Number,Street) 6945W :u- (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 E-MAILADDRESS E-MAILADDRESS DJOHNSON @RESCOI.COM DJOHNSON @RESCO1.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0911-214-8320-8 BRISTOL 21 SE NE • - • • • HOUSE NO. ST.DIR:CTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 6945 W I LB U RN RD LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 05646 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 1� New gl Addition/Alteration CENSUS CODE A-1 5.01 Description:35'X26'GARAI!.E ADDITION 438 - GARAGE CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:35'X26'GARAGE ADDITION ❑Public g Private ROAD CLASSIFICATION REZONE NO. C.0 P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WE LAND y� EC/SW NO. ❑Yes )4 No LI Yes No ❑Yes XI No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 18 910 910 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 21,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 118.00 1. I,the undersigned,hereby make application for a zoning per 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 'revision 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 applicable,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 erectint 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 pe 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 C• my SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the infotma•on or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes A No 14 Jul 2009 pmk2 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING 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 VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 2. SURVEY ADVISORY NOTE: A LOI ATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCO'DING TO I'_THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single C S 7 0 ,I A- I �/ II Ir