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Ap•lication Number:APP-28436 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080867 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RONALD GROVER (608)837-7449 CLEARVIEW CONSTRUCTION, INC. (608)226-9800 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2903 HENSEN RD 2227 S. STOUGHTON RD., <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 MADISON„WI 53716 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CLEARVIEW_BEN @SBCGLOBAL.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-293-2223-3 BRISTOL 29 SW Nw <br /> •J:T•1J4ar�/A Ill]:14 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2903 HENSEN D R <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 3 PLAT: HENSEN SUBDIVISION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: LI New M Addition/Alteration CENSUS CODE <br /> R-1 .61 Description:194 SQ FT DECK ADDN 329 — OTHER <br /> CATEGORY XResidential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 194 SQ FT DECK ADDN ❑Public lEi 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 /> Cl Yes A No Li Yes Yes X�J No ❑yes A No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 194 194 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 7,000.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 655.00 <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. Owner/A• nt DATE: <br /> Ordinances.Any unauthorized change from the information A1— 7� <br /> or plans submitted will invalidate the permit -a,' / <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPEC ON ATE INITIALS <br /> ❑Yes o 07 Nov 2008 SCW1 {t L <br /> r <br /> DATE REVIEWED INITIALS 2nd INS pTI DATE INI ALS <br /> Initials: �j j 10 ?/ � <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQ THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANr' CATIONS ARE MADE WITHOUT TH PRESS W it PP RO F DANE COUNTY ZONING. <br /> INITIALS /0. 2 S(-3 0) t O Zi ///1 <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY B REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> AlO .S4-�r .} !I tiCia, ,//S,fot <br /> 545-112(12/05) GCS-single <br />