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• <br /> Ap•lication Number:APP-36525 <br /> . DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090495 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TAYLOR MADE HOMES OF MADISON LLC (608)235-0803 KARL WATERS (608)575-6920 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 314 ASHTON DR 314 ASHTON DR <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 VERONA,WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KEYSTONE123 @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/a 1/4 <br /> 0508-142-1801-2 MONTROSE 14 NW NE <br /> "NJ:Tel»:iIV/_l1l'1a#* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 6738 HENRY RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 D PLAT: PAOLI STATION, PLAT OF VILLAGE OF(CORRECTION) <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 54 Addition/Alteration CENSUS CODE <br /> R-3 .20 Description:l2'x12'DECK 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public Xi Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. 'VARIANCE NO. DEED RESTRICTION <br /> D ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ b� <br /> ❑Yes X1 No Yes +�I No ❑Yes .�1 1 No <br /> HEIGHT(In Feet) BASEMENT It FLOOR TOTAL SQUARE FEET <br /> 144 <br /> 9 Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Rd FLOOR $ 900.00 <br /> 144 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 61.00 <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 revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit / _ ,�i <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE Q INITTIIAL�S�/ <br /> Yes ❑ 0 12 Aug 2009 SSA1 i ( -3 - 07 1 ,tft <br /> DAREVI 1{/ <br /> © ^ INI[IALS 2nd INSFEC N DALE/� INITIA ^ <br /> Initials: QQ 1(� rik!� I I ©Y M <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <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 <br /> 545-112(12/05) GCS-single <br />