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j <br /> Application Number: WEB-29027 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20080912 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DREW GARTY (608)455-8026 RICHARD FELDT (608)848-9193 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 410 BRAMBLE 400 VENTURE 111 <br /> (City.State,Zip) (City,State,Zip) <br /> BROOKLYN,WI 53521 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> RFELDT @INXPRESS.NET <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-254-2509-8 OREGON 25 SE Nw <br /> M 1 ae714 a 11/d'10]:I*l in HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 410 BRAMBLE LN <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 9 PLAT: HOMESTEAD ACRES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE <br /> R-1 5 Description:ADD TO DINING ROOM, NEW DECK 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ADD TO DINING ROOM, NEW DECK ❑public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 010 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 15 0 363 363 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 30,000.00 <br /> 1 0 0 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 77.00 <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 SIGNATURE;.7Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information /,' / / ��� ,AK.or plans submitted will invalidate the permit ,/ % / , /I <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes l No 02 Dec 2008 HJH3 1/ia I o') ZE <br /> X� DATE REVIEWED, INITIALS 2nd INSPECTION DATE INITIALS <br /> s: iZ l?i c,e, tee., ci l/zi lD y Z E <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V0919, Y <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.I ALS <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-multi <br />