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Ap.lication Number:APP-30589 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080938 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DONALD TIERNEY (608)849-4736 HENSEN BUILDERS INC. (608)849-4736 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3564 EGRE RD 110 BATER ST., STE. B <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST,WI 53532 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HENSENBUILDERS @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-303-4067-0 BRISTOL 30 SW SW <br /> NO JI A.1 J 4 A CNADIDi. *11/1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 6645 JERRY RYAN TRL <br /> LOT BLOCK C.S.M.NO.wr PLAT NAME <br /> 27 PLAT: BRISTOL GARDENS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE <br /> A-1 .76 Description:SFR W/DECK&PORCH 101 - SFR <br /> CATEGORY Isi Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR W/DECK&PORCH ❑Public $i Private 518220 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �I EC/SW NO. <br /> ❑Yes X No ❑Yes X No ❑Yes pt No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 9840 <br /> 18 5178 <br /> Sq.Ft. 4662 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 690 600.0 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. <br /> 788.00 <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 8,Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TION DATE INITIALS <br /> A Yes ❑No 29 Dec 2008 SCW1 1/2—C 0 9 ,eL..k <br /> DATE REVIEWED INITIALS 2nd INS 7yfo N � INI�S� <br /> Initials: 1/� LJ <br /> Conditions: PROJE TPREQU REQUIRES THE EXPRESS RIITTEN APPROVAL BY DANE OUNTY ZONING. THIS PERMIT ISHALLL BE NULL AND <br /> VOID IF ANY MODIFICATIONS A E M E WIT QQUT THE XP ESS WRITTEN AP ROYAL OF DIANE COUNTY ZONING. <br /> INITIALS /P, 25CI) 4)1. 6_kr:-5 A-da ..erg s -22(�g J/Ze/Qft <br /> 2.SURVEY REQUIREMENT: A LOCATION URVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME <br /> THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 54 fiiw w7 GC re ///"f/6 • <br /> single pi SE 1Akii"rGe 1C, 2 t)/)� / <br /> 9 v IP w i. -IA/as 6h 3/0 ? - 6 h A /01 2_syLiv /a 2 573)a) <br />