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Application Number: APP-33154 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20090097 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> LLOYD BISHOP (608)441-8837 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2779 WAUBESA AVE2799 WAUBESA AVE <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53711 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BISHOPMARK47 @CHARTER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-082-6154-2 DUNN 08 NW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2799 WAUBESA AVE <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.er PLAT NAME <br /> 2 1 CERTIFIED SURVEY MAP: CSM 03624 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New Addition/Alteration CENSUS CODE <br /> R-3 0.284 A Description:SECOND STORY ADDN TO DETACHED GARAGE,W/BALCONY 438 - GARAGE <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> D 3542 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes No ❑Yes No ❑Yes No NOT REQUIRED <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 16.5 AVE 0 0 1060 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 35,000.00 <br /> 2 1060 0 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 129.50 <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 SIGNAT j • er/• .r•nt •ATE: <br /> Ordinances.Any unauthorized change from the information • � �� 119 <br /> or plans submitted will invalidate the permit ��/ ' - �- <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS f 1st INSPE TION DATE INITIAL <br /> ❑Yes l No 02 Apr 2009 KLS / `a7') <br /> f <br /> DATE REVIEWED INITIALS 2nd INSP TION' ATE INITIALS <br /> Initials: I f 'z- B 1 ��>' <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESS ED. Y MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE <br /> USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. <br /> 545-112(12/05) GCS-multi <br />