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• A••Iication Number:APP-257 DANE COUNTY ZONING P RMIT ZONING PERMIT NO. ZP20060690 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DAVID ANDERSON (608)873 :889 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1759 ROLLINGWOOD CT (City,State,Zip) (City,State,Zip) OREGON,WI 53575 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 0610-331-6056-9 DUNN 33 NE SE ,:t•]JI AIWA PI:1=I4 HOUSE NO. ST.DIR CTION STREET NAME ST.TYPE (Assignment of new address is subject 1759 to field verification.) ROLLING WOOD CT LOT BLOCK C.S.M.NO.Q PLAT NAME 6 P AT: BURNING TREE IN DUNNWOOD HEIGHTS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: IN New 14 Addition/Alteration CENSUS CODE R-1 0.68 AC Description:GARAGE ADDITION 30 X 16 438 - GARAGE CATEGORY V Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. ❑Other:GARAGE ADDITION 30 X 016 ❑Public )I Private ROAD CLASSIFICATION REZONE NO. C. .P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE ��11 LAND EC/SW NO. ��yy ❑Yes ,eat No ❑Yes X]I No ❑Yes V No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 12.500 480 480 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 15,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 86.00 1. I,the undersigned,hereby make application for a zoning pe it 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,o 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 .rovision 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 o'icial map to the applicants'land; • No such official map is applicable,or,if such map is appli :131e,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employee• in giving these assurances; • I understand the possible adverse consequences of erectin t any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property lo'-ted 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 oid. 3. I, the undersigned, hereby consent to the entry on the pe itted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zon ng ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certific•te of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane Co my SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the inform • or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ❑No 14 Aug 2006 JAS DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: • 1.THIS APPROVAL BY DANE COUNTY ZONI G IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITT:N APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WI HOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 2. SURVEY ADVISORY NOTE: A LOI ATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCO-DING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single