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' Ap•libation Number:APP-33525 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090145 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ARTHUR SOBCZAK (608)429-2225 BACHMANN CONSTRUCTION CO. (608)222-8869 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> PO BOX 527 1201 S. STOUGHTON ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> WINDSOR,WI 53598 MADISON, WI 53716 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> RFOX @BACHMANNCONSTRUCTION.NET <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0910-314-9930-9 WINDSOR 31 SE SE <br /> ;J:f11114ai/11 rl01:1*1-1101HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4494 LAKE CIR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CERTIFIED SURVEY MAP: CSM 00699 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> C-1 .72 Description:NEW ENTRY AND AWNING 437-NON-RES ADD <br /> CATEGORY ❑Residential X Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: NEW ENTRY AND AWNING XI Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 1709 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �pI EC/SW NO. <br /> y�I <br /> ❑Yes ,nt No CI Yes )0 No ❑ pl <br /> Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 11 316 316 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 150,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 500.00 <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 ordi noes.T•is consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of cod= ianc or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIG -=• Ow ent DATE: <br /> Ordinances.Any unauthorized change from the information A 4 )'/l f t O10 <br /> or plans submitted will invalidate the permit d <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes ❑No 20 Apr 2009 pmk2 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE 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 (CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ o <br /> 545112(12!05) GCS-single j� <br /> /S/ — f o S ± 1/4V(36 — JnC�►' Gorr k.. '14VC'`f iti'-t Ck <br />