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Application Number:APP-31605 DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. ZP20090025 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE GENE HARBORT (608)850-4450 Cpp,pp(p(cop-phn(Fimxp(oRvv6(41 (608)850-4450 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2903 KENTVILLE DR 800 S DIVISION ST SUITE C (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 WAUNAKEE,WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS HOMELINK @CHARTER.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0910-203-0003-0 WINDSOR 20 SW NE :fa]4 CNN 1111;1 4-41/11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 6927 CIRCLE TRAM WAY to field verification.) LOT BLOCK C.S.M.NO.e PLAT NAME 11 PLAT: HOLLAND FIELDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 61 New ❑Addition/Alteration CENSUS CODE R-4 1.6 Description:4-UNIT MFR(BLD.104 OF DEVELOPMENT PLAN)(SOUTHERN MOST) 104 - MULTI FAM CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑other 4-UNIT MFR (BLD. 104 OF DEVELOPMENT PLAN) (SOUTHo Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E 6059 LI Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No Dyes ❑No Yes ❑No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 25 2450 3920 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 475,000.00 2 2740 PERMIT FEE Sq.Ft. Sq.Ft. $ 733.00 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 1SIGNATURE: (D vner/Agent E: Ordinances.Any unauthorized change from the information c� 0 _ ` or plans submitted will invalidate the permit c>I 1\Feu__ „- OFFICc USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS M Yes ❑No 30 Jan 2009 RWL1 . DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Imo:'• Con. •/1s: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE ritA.4.4hp Vs!II IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONINQ 4 2.SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. 545-112(12/05) GCS-multi