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Ap•lication Number:WEB-30411 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080933 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAM. PHONE <br /> RUSSELL CHRISTIAN (608)437-4910 PETER READ (608)235-4835 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Numb- , treet) <br /> 9916 GREENWALD 401 PAR •, EW <br /> (City,State,Zip) (City,Stat: ip) <br /> MT HOREB,WI 53572 MT OREB,WI 53572 <br /> E-MAIL ADDRESS E- AIL ADDRESS <br /> RLC @MHTC.NET 'ETE @VIRTUAL-BUILDER.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0706-262-8000-2 VERMONT 26 NW NE <br /> -a:L•l»:I1-/_l'1'l:1* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 9916 GREENWALD RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 02397 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 141 Addition/Alteration 'CENSUS CODE <br /> A-1 EX 11.28 Description:12X24 GARAGE ADDITION;EXT BASEMENT STAIR;NEW FRONT STOOP 434 --R DD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SAN ARY PERMIT NO. <br /> ❑Other: 12X24 GARAGE ADDITION; EXT BASEMENT STAIR; NEWN ❑Public Private 518192 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED ION <br /> C CI Yes 0 N <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> �I <br /> ❑Yes ,iol No ❑Yes X No ❑Yes X No 20080373 <br /> HEIGHT(In Feet) BASEMENT • tat FLOOR TOTAL SQUARE FEET <br /> 13 483 483 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 42,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 86.00 <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 /> o <br /> Ordinances.submitted unauthorized to change permit from the information `-- — /2-50-as <br /> or fans submitted will invalidate the rmit /' <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st IPNS�ECT JN DATE _ A INI <br /> ❑Yes V No 22 Dec 2008 HJH3 .✓mot II <br /> ,/�� DATE REVIEWED INITIALS 2nd INSPECT ON�ATB INITIALS <br /> Initials: /"(//q 5/ " / i <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 ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS ,Dc/e_ <br /> 2. SURVEY 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(12/05) GCS-single <br />