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• <br /> • Ap.Iication Number:APP-32759 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090072 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KELLY FRODEL (608)295-5273 DOUGLAS MARKLEIN (608)752-0814 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1654 HAMMEN RD 3435 E MILWAUKEE ST <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON,WI 53534 JANESVILLE, WI 53546 <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0612-324-9520-0 r CHRISTIANA 32 SE SE <br /> S <br /> -J:Z•1J41 1elII:444/MHOUSENO.tb� ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject '1ClXJ. <br /> to field verification.) S HAMMEN RD <br /> LOT BLOCK C.S.M.NO.fff PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 11113 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: tEl New ❑Addition/Alteration CENSUS CODE <br /> RH-1 2.00 Description:SFR NO DECK 101 - SFR <br /> CATEGORY g Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public M Private 518234 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 8911 CI Yes 0 N <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> �� <br /> ❑Yes No ❑Yes .t]11 I No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT tg FLOOR TOTAL SQUARE FEET <br /> 4560 <br /> 28 Sq.Ft. 1881 Sq.Ft. 2679 PROJECT COST <br /> NO.OF STORIES 2nd FLOOR srd FLOOR $ 248,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 392.00 <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 B 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 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTIO DATE INITIALS <br /> ❑Yes ;ICI No 19 Mar 2009 SSA1 10 <br /> DATE REVIEWED INITIALS 2nd IN PECT N D E INITIALS <br /> Initials: <br /> 1.THIS APPROVAL BY DANE COUNTY 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(12/05) GCS-single <br />