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Ap•libation Number:APP-33616 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090157 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOHNSON LE, MARIAN C (608)244-1224 JEAN COENEN (608)265-6554 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3419 WEBB AVE 3419 WEBB AVE <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53714 MADISON,WI 53714 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JCCOENEN @WISC.EDU <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0710-051-0548-3 BLOOMING GROVE 05 NE NE <br /> 111;J:(01 J 4:1 i"/c\r]'1.1*11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3419 WEBB AVE <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 388 PLAT: GALLAGHER, CLYDE A PARK SUBDIVISION- <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> R-3 20 Description:DECK RAMP 434 — RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 141 Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �y�1{ WETLAND EC/SW NO. <br /> ❑Yes )al No ❑Yes No ❑Yes ,X1 No <br /> HEIGHT(In Feet) BASEMENT 1.FLOOR TOTAL SQUARE FEET <br /> 85 <br /> 2 85 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 985.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 556.00 <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 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 SIGNATURE: Owner/Agent DATE: <br /> o <br /> Ordinances.Any unauthorized to change <br /> permit the information �(` C u `-\ '1 <br /> or tans submitted will invalidate the rmit ��— �, <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ❑No 24 Apr 2009 SSA1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> InRials:Z`� <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 ,s DIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> Mir <br /> 2. SUR ADVISORY 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(12ro5) GCS-single 3/ifj109 3 L� 1310.61-4 t e- <br />