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Application Number: WEB-28770 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080893 OWNER INFORMATION ( AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE GAIL GREGORY (608)835-5242 ED SCOTT BUILDERS (608)835-8488 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2213 SOUTHVIEW RD PO BOX 78 (City,State,Zip) (City,State,Zip) OREGON,WI 53575 OREGON,WI 53575 E-MAIL ADDRESS E-MAIL ADDRESS EDSCOTTBUILDERS @GMAIL.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0610-194-8940-1 DUNN 19 SE NW N J t.1 J I a Ii-/_1'1.1 T *11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2213 SOUTH VIEW RD LOT BLOCK C.S.M.NO.or PLAT NAME 4 CERTIFIED SURVEY MAP: CSM 01404 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE A-1 EX .652 Description:ADDITION 18X4 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ADDITION 18X4 ❑Public ;Q)Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND ��{{ FLOOD ZONE WETLAND EC/SW NO. ❑Yes pm No ❑Yes No ❑Yes Xi No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 64 15 0 64 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3,r, FLOOR $ 10,000.00 O O PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 55.00 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 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 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 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. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owne of the property. Owner&Agent hereby agree to comply with all Dane County - GNATURE: • - i T �/ Ordinances.Any unauthorized change from the information ' i I i(61 2 or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT ON DAT INITIALS ❑yes `)4 No 19 Nov 2008 CHS1 ZN/ DATE iIF�WED INITIALS 2nd INSP C2-0 INITLJ��.S f1 4 ,(O�/[.e/ Q�1 ifilCr/ 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESEN ED. ANY MODIFICATION TO THE Conditions. PROJECT REQUIRES,THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY ,'.■r CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. 2. SURV ' ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single