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Ap•lication Number:APP-36899 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090540 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> THE HEFFRON COMPANY INC (608)643-8525 HEFFRON HOMES (608)963-6022 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2000 PRAIRIE ST STE 2000 PRAIRIE STREET <br /> (City,State,Zip) (City,State,Zip) <br /> PRAIRIE DU SAC,WI 53578 PRAIRIE DU SAC,WI 53578 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HEFF @HEFFRONGROUP.COM V\ kti Utn- Rove. Ccrel" <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-184-4650-0 ROXBURY 18 SE SW <br /> ;7:to] 4:i i'/A1111:4 44/111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 9347 JENNY LIND LN <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 40 PLAT: BLACKHAWK FIELDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2 New ❑Addition/Alteration CENSUS CODE <br /> R-1 0.653 Description:SFR W/COV FRONT POR,AT-GRADE REAR PATIO 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO <br /> ❑Other: ❑Public gI Private 517869 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 9814 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �,1 WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes X�I No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4239 <br /> 28 Sq.Ft. 1083 1976 <br /> Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 205,000.00 <br /> 1180 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. 368.00 <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 xi t- <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTIO DATE INITIALS <br /> ❑Yes 'No 26 Aug 2009 RLB J <br /> DATE REVIEWED INITIALS 2n I :a ATEi INIT <br /> Initials: J (bit <br /> C <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTE . 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 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 />