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• Ap.lication Number:APP-36115 <br /> ZONING PERMIT NO. <br /> /DANE COUNTY ZONING PERMIT zP20090444 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> PAULSON DEVELOPMENT LLC (608)825-6945 KEVIN MINDHAM (608)825-9052 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4607 OAK SPRINGS CIR 1483 PREBBIEBROOK TR <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST, WI 53532 I SUN PRAIRIE, WI 53590 <br /> E-MAILADDRESS E-MAILADDRESS <br /> LMINDHAM @CHARTER.NET <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-191-2291-0 BRISTOL 19 NE Nw <br /> NE.1;I*1JIA CIA'III;l# HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3014 CRAIG LN <br /> LOT BLOCK C.S.M.NO.or PLAT NAM <br /> 51 PLAT: NORWAY ROAD ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE <br /> A-1 0.777 Description:SFR W/COV POR NO DECK 101 - SFR <br /> CATEGORY Xi Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 1 ❑Public )I Private 520357 <br /> ROAD CLASSIFICATION REZONE NO. 'C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE ��{{ ''VETLAND EC/SW NO. <br /> ❑Yes ❑No ❑Yes X]I No 1 ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT it FLOOR TOTAL SQUARE FEET <br /> 27 1837 2952 5482 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 1 <br /> 1 3rd FLOOR 250 000.00 <br /> 487 PERMIT FEE <br /> 2 • Sq.Ft. Sq.Ft. $ 461.00 <br /> 1. I,the undersigned,hereby make application for a zoning p rmit 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 understa d 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 a y 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 an official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is ap icable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employ es in giving these assurances; <br /> • I understand the possible adverse consequences of ere ing 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 Ormitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's rang ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certi cate of compliance or until earlier revoked in writing/by the owner of the property. <br /> SIGNATUR Oi nerI ent DATE: t <br /> Owner&Agent hereby agree to comply with all Dane County " g <br /> Ordinances.Any unauthorized change from the information a ., • 1 ? n . <br /> or plans submitted will invalidate the permit • '<J' �,h ' G:- ? E I -X' 1 , lO• <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATA(,- I v'_ INITIALS <br /> A Yes ❑No 28 Jul 2009 RLB v <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: c 1�� <br /> �+ 1.THIS APPROVAL BY DANE COUNTY ZONIN IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Condition : REQUIRES THE EXPRESS WRITTEN APPRO L BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE E PRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS , /-11)t/ <br /> l II <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 />