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• Ap•lication Number:APP-36122 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> • ZP20090449 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> LINDA CANDLIN (608)273-4319 INSTYLE SCREENROOM & DECK (608)592-0056 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1018 HAMPSHIRE PL 630 SUNRISE DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53711 LODI, WI 53555 <br /> E-MAILADDRESS E-MAILADDRESS <br /> DECKPRO @INSTYLEDECKS.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 Y4 <br /> 0709-312-8700-8 MADISON 31 NW NW <br /> •J.t•I»al11/.1'I'I:44:1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1018 HAMPSHIRE PL <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New lid Addition/Alteration CENSUS CODE <br /> A-1 EX 2.25 AC Description:12'X14'DECK ADDN TO SFR 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 14 Public ❑Private NR <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes I No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes ,eat No ❑Yes }7I No ❑Yes A No NOT REQUIRED <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 168 <br /> 2 0 168 <br /> Sq.Ft, Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 5,100.00 <br /> O O PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 63.00 <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_• / 'I earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County S NAT ' •wner/A ( DATE: - <br /> Ordinances.Any unauthorized change from the information �► 4 r �r <br /> or plans submitted will invalidate the permit ivp <br /> OFFICE USE ONLY <br /> SURVEY REQUIREP DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes '�fie 28 Jul 2009 KLS <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> ,initials: L� <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE P O T <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND ett:riel <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 /> ..-1///s7/ r;' %----- /r- .7.4-. C.-• 0045- <br />