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Ap•lidation Number:APP-32738 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090066 <br /> OWNER INFORMATION ( AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RONALD SMITHBERGER (608)836-8361 LAWRENCE CUSHMAN CONST (608)798-2001 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 8549 ELLINGTON WAY 2710 ELMWOOD_(WEST)CIR <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON,WI 53562 CROSS PLAINS,WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-051-2034-5 MIDDLETON 05 NE Nw <br /> •J a4 J I:t 1W 1'1']. 1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 8549 ELLINGTON WAY <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 34 PLAT: STONEBROOK ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 54 Addition/Alteration CENSUS CODE <br /> A-1 .5 Description:SCREEN PORCH 20X14 434 - RES ADD <br /> CATEGORY !Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: SCREEN PORCH 20X14 ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes X No ❑Yes ,+��y1t�I No ❑Yes �t pt No <br /> HEIGHT(In Feet) BASEMENT FLOOR TOTAL SQUARE FEET <br /> 10.5 280 280 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 18,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 71.00 <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 > 3 <br /> )1 Il /G`I <br /> or plans submitted will invalidate the permit 1lily L C ,,',,. - <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT! TE IN L <br /> ❑Yes No 19 Mar 2009 HJH3 £7 � <br /> DATE REV EWED INITIA 2nd INSPE$ i QEE / INI IALS <br /> Initials: ���K-C.� �IJ(/^ 1!/ /1 <br /> 1.THIS APPROVAL BY DANE OU Y ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> 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(12/0`; ucs-single <br />