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Application Number:APP-35831 ZONING PERMIT NO. J', DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090423 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE BRICKNER LIVING TR,TIMOTHY R&VALERY A (608)835-3539 FENSKE HOMES LLC (608)444-4676 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 793 TRUMAN ST 1365 CONNEMARA LANE (City,State,Zip) (City,State,Zip) OREGON,WI 53575 OREGON,WI 53575 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0510-182-5313-2 RUTLAND 18 NW SW M J:t4 J 4:111A/1 DI ll 1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 793 TRUMAN ST to field verification.) LOT 1 BLOCK C.S.M.NO.or PLAT NAME 23 PLAT: FOUR SEASONS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New In Addition/Alteration CENSUS CODE R-1 .488 Description:HOUSE ADDITION AND 10'X14'DECK 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:HOUSE ADDITION AND 10'X14' DECK ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No Li Yes No ❑Yes No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 18 332 472 804 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 110,000.00 PERMIT FEE 1 $ 110.00 Sq.Ft. Sq.Ft. 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 official 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 County SIGNAT RE. Owner/Agent DATE: Ordinances.Any unauthorized change from the information 5J 1 7 or plans submitted will invalidate the permit. zoo OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE v,z_ves{ INITIALS ❑Yes No 17 Jul 2009 pmk2 114340q 41)E DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: Pr 7120109 IC r(D 'QG) .4. Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V F ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALSQ/ 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12105) GCS-multi Gam( - ©L-1g60