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Ap.Iication Number:APP-33338 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090117 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME "'i 4 ,P MICHAEL BETZ (608)318-1249 SAME AS OWNER R C BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2939 PEBBLE VALLEY CT (City,State,Zip) (City,State,Zip) f�1 1 2 �` SUN PRAIRIE, WI 53590 E-MAIL ADDRESS E-MAIL ADDRESS EVT at BETZ_3 @MSN.COM i� .�,NNING PARCEL NO. TOWNSHIP 1•' SEC'1 .11) 1/4 1/4 1/4 0911-194-7034-2 BRISTOL 19 SE SE •J:L•1 Li 4 a IV/11•1D/ 4 41.11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2939 PEBBLE VALLEY CT LOT BLOCK C.S.M.NO.or PLAT NAME 4 PLAT: PEBBLE VALLEY ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2' New ❑Addition/Alteration CENSUS CODE R-1 1.669 Description:40'X 30'X 14' DET RES GAR 438 - GARAGE CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public XI Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E 2136 ❑Yes ❑No SHORELAND FLOOD ZONE ma�yy WETLAND EC/SW NO. Yes ❑No ❑Yes X No ❑Yes ,I?4 No HEIGHT(In Feet) BASEMENT ' t FLOOR TOTAL SQUARE FEET 14 1200 1200 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 31z1 FLOOR $ 1,200.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 140.00 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 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 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 provision 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 official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located 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 void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County Ordinances.Any unauthorized change from the information • or plans submitted will invalidate the permit .,`� j / �+ - ' �� OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st I SP T N.AT INITI L ❑Yes XI No 09 Apr 2009 RLB /2 3/0 / � DATE REVIEWED INITIALS 2nd IN CT ON DATq INIT ALS 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND Fl TIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. 2. SURVEY DVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING S CONSTRUCTED ACCORDING TO THE �J//7S/(JJj,.,'I MITTED WIT TIrI PLICATION. 545-112(12/05) GCS-single C ) I ��i V/ VET- D �c 3, ` 1t ��/� � �