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Ap•lication Number:APP-37219 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090567 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MADISON MHP LLC (608)359-1447 JESUS MARTINEZ (608)359-1447 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) W355N5053 LAKEVIEW CT 536 MARIGOLD LN (City,State,Zip) (City,State,Zip) OCONOMOWOC,WI 53066 MADISON,WI 53713 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0709-351-9660-8 MADISON 35 NE SE a:{,12 4 it WIL1 rl'l I*1-,211 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 56 SIRLOIN STRIP LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 04571 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 0 New XI Addition/Alteration CENSUS CODE B-1 16.2 Description:DECK 536 MARIGOLD 434 - RES ADD CATEGORY X:1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI other:DECK 536 MARIGOLD /il Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND y�I EC/SW NO. ❑Yes /cal�1 �y{ ,4 No ❑Yes .�No ❑Yes No NA HEIGHT(In Feet) BASEMENT itt FLOOR TOTAL SQUARE FEET 108 1.6 108 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 600.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 58.00 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 compli.• - o until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County S =NATUR . 0 Z r/.gent DATE: Ordinances.Any unauthorized change from the information / ,ra or plans submitted will invalidate the permit 4_�� / ► otr d ' OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INIT •LS 1st INSPECTION DATE INITIALS ❑Yes No 08 Sep 2009 HJH3 jcil.. . DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOI IF A Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 545-112(12/05) GCS-single c- ') /7 c7 —/� ks �'e.)w,�Ole'cf N