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• Ap.Iication Number:APP-33471 <br /> • <br /> • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090140 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SHIRLEY SONSTEBY (608)832-4428 DON ADAMS (608)393-7273 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1252 COUNTY HIGHWAY U S7107 COUNTY HIGHWAY D <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 LOGANVILLE,WI 53943 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0507-101-9720-0 PRIMROSE 10 NE SE <br /> :WI/4 1 r-/11'1'] l 4:1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 1252 COUNTY HIGHWAY U <br /> LOT BLOCK C.S.M.NO.2r PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 12455 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> RH-2 6.03 Description:FRONT PORCH REBUILD AND NEW HANDICAP RAMP 434 - RES ADD <br /> CATEGORY X Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other FRONT PORCH REBUILD AND NEW HANDICAP RAMP ❑Public )4 Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 9843 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> X Yes ❑No ❑Yes X No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT ill FLOOR TOTAL SQUARE FEET <br /> 3 300 300 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 2,500.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. �P 72.50 <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 SI URE: Owner/Agent DAT : <br /> Ordinances.Any unauthorized change from the information r <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION1DA© Q INITIAL <br /> ❑ 141 No 17 Apr 2009 pmk2 S P <br /> ;= DATE VIEWED' INITIALS 2nd I 'CTION DATE I I��Initials: —O Q sits • 3 0 % /O <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 A Y ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVEY DVISORY 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 />