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• ,pt ease 5'S�-./Qo.'k/ii ✓�.-1-:.-I as-^d (Q'1 of y■ - /NJ uUauUII INIUMUci.r,,rr-�rccr <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090569 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME Dd d G LAS' PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAIWGE BOHN (608)255-5868 STEENBERG HOMES, INC. (608)254-8346 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 492 HONEYSUCKLE LN 300 N ROLLING MEADOWS DR., <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53713 FOND DU LAC, WI 54937 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-351-9660-8 MADISON 35 NE SE <br /> " • • ' . 1 ' - ' ' HOUSE NO. ST.DIRfiCTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 56 SIRLOIN STRIP <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.2 PLAT NAME <br /> I 1 CERTIFIED SURVEY MAP: CSM 04571 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New LI Addition/Alteration CENSUS CODE <br /> B-1 16.2 Description:REPLACE SFR WITH NEW SFR 101 — SFR <br /> CATEGORY ; J Residential LI Commercial LI Agricultural SEWER SANITARY PERMIT NO. <br /> LI Other: REPLACE SFR WITH NEW SFR 2 Public ❑Private NA <br /> ROAD CLASSIFICATION REZONE NO. C.U.D.NO. VARIANCE NO. DEED RESTRICTION <br /> C LI Yes LI No <br /> SHORELAND FLOOD ZONE WETLAND �t EC/SW NO. <br /> LI Yes A No LI Yes X No LI Yes X No NA <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 697 <br /> 14 Sq.Ft. Sq.Ft. 697 PROJECT COST <br /> NO.OF STORIES 2nd FLOOR ard FLOOR $ 45,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 102.28 <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 o Iclal 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 perrrlitted 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: Own: /Agent DATE: <br /> Ordinances.Any unauthorized change from tie infon'natibn ` f Q� — 9/,02 <br /> or plans submitted will invalidate the permit • ��! / <br /> • <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes A No 09 Sep 2009 HJH3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> 1 <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 /> MODIFICATI NS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> // k/051 -—/ <br /> 00 k- S C_Ozylne <br /> 1-Q-1k-__ <br /> 545-112(12/05) GCS-single <br />