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Ap•Iication Number:APP-35317 <br /> • <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090357 <br /> • OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANE HENDRICKS (608)225-8430 CpNG(=P(r(B(J((_Kft (OF(MPp(ppN(l6 (608)234-4752 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) ' <br /> 524 HARVEST LN 804 WINSTON WAY <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 MADISON, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CHRIS_1900 @HOTMAIL.COM ROB @MYCONCEPTBUILDERS.COM <br /> PARCEL NO. I TOWNSHIP SECTION '1/4 1/4 1/4 <br /> 0811-324-8200-2 SUN PRAIRIE 32 SE NE <br /> J;(.1 J 1 Ci 1"/_1'1 X7:1#;1~/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4832 ALVIN RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.p PLAT NAME <br /> 4 CERTIFIED SURVEY MAP: CSM 04508 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 21 New ❑Addition/Alteration CENSUS CODE <br /> R-1 Description:SFR W/COV FRT POR, COV DECK&STEPS 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public .I Private 520325 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 3311 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes ,i4 No ❑Yes X No ❑Yes ,4 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6468 <br /> 25 4175 <br /> Sq.Ft. 2293 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 340,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 535.00 <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 SIGNA - . - neriA. nt DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit f`d_ —.gig' - • AD" <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN • .I INITIALS <br /> �� <br /> ❑Ye 0 N 01 Jul 2009 RLB ? 2C/0Jr /� <br /> DATE REVIEWED INITIALS 2nd IN/ L1 g 0? IN A <br /> Initi J 1 Vn 4'1 <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 AN (CATIONS ARE MADE WITHOUT THE XPR S WRJTTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS J� 2�'(3)�j Z 7i Di <br /> 2. SU E ADVISORY NOTE: A/LOCATION JRVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMI TED WITH THIS APPLICATION. <br /> 545112(12/05) GCS-single / ?glic(99 <br />