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Ap.Iication Number:APP-36770 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> f ZP20090517 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MARY SEIBEL (608)291-2333 JOHN MULLIGAN (608)212-3378 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1343 HOBBY HORSE RD 4232 TWIN VALLEY RD. <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 MIDDLETON,WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-082-2511-2 OREGON 08 NW Nw <br /> :14;A 4:i IWN1111II N 11/1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1343 <br /> to field verification.) HOBBY HORSE RD <br /> LOT BLOCK C.S.M.NO.a PLAT NAME <br /> 1 PLAT: HOBBY HORSE HEIGHTS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 0 Addition/Alteration CENSUS CODE <br /> R-1 1 Description:SUN ROOM ADDITION w I _s f E 1 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SUN ROOM ADDITION ❑Public $J Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND f EC/SW NO. <br /> ❑Yes 23 No ❑Yes ./I No ❑Yes t <br /> p No NA <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 152 <br /> 10 152 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 37,519.00 <br /> PERMIT FEE <br /> 1 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 SI- ATURE: Owner/AgentTE: <br /> Ordinances.Any unauthorized change from the information '� ,/ yy <br /> or plans submitted will invalidate the permit ' -``� d -aot <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes No No 20 Aug 2009 HJH3 I/ 5t.c i _.6 <br /> �� DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS• <br /> ias 4+ Oh-7`I109 e lC its /Cci _T <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 N D I <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONIN .INITIA <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 />