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Ap.lication Number:APP-35897 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090434 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ROGER ENDRES (608)873-4032 SHAW BUILDING & DESIGN INC. (608)877-1131 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1752 DUNNWOOD WAY 3185 DEER POINT DR., <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 OREGON,WI 53575 <br /> E-MAILADDRESS E-MAILADDRESS <br /> BETH @SHAWBUILDERS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/a <br /> 0610-331-6089-0 DUNN 33 NE SE <br /> :I*1 4;I /d,111:1#= 'HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1752 DUNNWOOD WAY <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 9 PLAT: BURNING TREE IN DUNNWOOD HEIGHTS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 21 Addition/Alteration CENSUS CODE <br /> R-1 .8 Description:KITCHEN/DINING ROOM ADDN 434 - RES ADD <br /> CATEGORY ;1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other 12 X 21 KITCHEN/DINING ROOM ADDN ❑Public XI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND p�t }� <br /> t <br /> FLOOD ZONE WETLAND } EC/SW NO. <br /> ❑Yes JW No ❑Yes No ❑Yes ,ea No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 13 252 252 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 52,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 69.00 <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 revo ed in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU- : r. n> /Age t DATE: <br /> Ordinances.Any unauthorized change from the information a 4711 or plans submitted will invalidate the permit 4i / 2 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSI C ION TE INITIALS <br /> ❑,Yes No 21 Jul 2009 SCW1 i , O9 5:41 <br /> DATE REVIEWED INITIALS 2nd INS 1 ION AT INIT s•� J <br /> Initials: <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTE . AV MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF A IY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />