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Ap.lication Number:APP-34990 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090326 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SEAN NANGLE (608)516-4539 ROBERT BENZING <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 6420 NATURE VALLEY DR 10865 DIAMOND <br /> (City,State,Zip) (City,State,Zip) <br /> WAUNAKEE,WI 53597 BLUE MOUNDS, WI 53517 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0909-363-4033-0• VIENNA 36 SW SW <br /> •2;tel J 4 A CR.1'1'][I*IV/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 6420 NATURE VALLEY DR <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 4 PLAT: NATURE VALLEY CONSERVATION NEIGHBORHOOD SUBDIVISION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gl Addition/Alteration CENSUS CODE <br /> R-1 0.431 Descnption:4 SEASON PORCH OVER EXISTING DECK 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> �y <br /> ❑Yes X No ❑Yes AI No ❑Yes 2.1 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 25,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 71.00 <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 SI NATURE: Owner •gent D• E: <br /> Ordinances.Any unauthorized change from the information / <br /> or plans submitted will invalidate the permit A A/d / `� .`� A(,— q-o f <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS -1st INSPECTION.ATE , INITIALS <br /> ❑Yes X No 19 Jun 2009 DJE1 <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 • Y •e ,TIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS k _ 1 ASP <br /> 545-112(12/05) GCS-single c 7 <br /> azi) ' V�`A-C71'0,1"-- .7 bkjic , —...y o)-(-1 coY-31 <br /> al `% —/O0 & arev/44 <br />