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• Application Number:APP-37018 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090546 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE GREGORY HENKEL (608)318-1199 TCD BUILDERS, INC. (608)212-6934 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 972 STONEHAVEN DR 2851 COUNTRY DRIVE (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 SUN PRAIRIE,WI 53590 E-MAIL ADDRESS E-MAIL ADDRESS RANDYMARTEN @WILDBLUE.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0911-191-4369-0 BRISTOL 19 NE SW 11:i el J 4:i 111 r1:14-: . HOUSE NO ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2982 WYNDWOOD WAY to field verification.) LOT• - BLOCK C.S.M.NO.or PLAT NAME 79 PLAT: NORWAY ROAD ESTATES ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: N New LI Addition/Alteration CENSUS CODE A-1 .762 Description:SFR WITH PORCH 101 - SFR CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑other:SFR WITH PORCH ❑Public Private 520384 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT l FLOOR TOTAL SQUARE FEET 24 1905 2978 4883 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 210,000.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 416.00 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 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 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 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. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information I , Cth 0 Z:7_Q or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1 11 SPEC/TI N E INIT S, /� ❑Yesl No 27 Aug 2009 pmk2 / 1 Z-�0 % s/�//1 DATE REVIEWED INITIALS 2nd INSPECTION/ATE / INIT( S — Initials: IV "� Z / 3 / (i0. Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES EXPRESS WRITTEN APPROVAL COUNTY PERMIT L BE NU V01 M �Y MODF CA,R9 S AP€MA E I HOU EXPRESS WRITT ZONING. THIS DANE COUNTY Z ININITIA S 1\ etieI - I6) 2it, ZS(3) > /I /c,Y2-2/e 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRpc1FD ACCOR 7,TQ THE PLAN SUBMITTED WITH THIS APPLICATION. 18 2$-(5)( Id, 2S LLY k Wt 2- k 545-112(12/05) GCS-multi N T �t N ( S 4- n S ' O v � IV `4- w Y 1 l n