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PON/ if NO Application Number: WEB-28219--P ZONING PERMIT NO. DANE COUNTY ZONING PERMIT ZP20080869 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DONALD TIERNEY (608)849-6770 JEANETTE ACKER (608)849-6770 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 3564 EGRE RD 102 HOLIDAY DRIVE (City,State,Zip) (City,State,Zip) DEFOREST, WI 53532 WAUNAKEE, WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS JEANETTE.ACKER @TDS.ENT PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0911-303-4130-0 BRISTOL 30 SW SW •:JIZ•Ia4ai"L•1.117:I 441111 It10/' NO. / ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 3124 t�Id verification.) KATIE IDA LN LOT • BLOCK C.S.M.NO.or P d'T NAME 70 2. PLAT: BRISTOL GARDENS ZO - - RICT rIARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration CENSUS CODE A-1 .5 Description:SFR W/DECK W/FNT PORCH 101 - SFR CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: SFR W/DECK W/FNT PORCH W Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes 0 N ❑Yes ❑No ❑Yes 0 N HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 24 1735 2936 5951 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 300,000.00 1280 O PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 496.00 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 properly, 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 owner of the property. Owner&Agent hereby agree to comply with all Dane County NATURE: •w er/Agv - E: Ordinances.Any unauthorized change from the information _ �__/ �,�a/y._ or plans submitted will invalidate the permit Aiii0.7,..t. OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INI ALS X Yes ❑No 10 Nov 2008 HJH3 %j(v-/0�f ') DATE RE`IEWEp/V 6 INITIAI,B� 2nd INSPE)r,/o`D,E IN A �f 1.THIS APPROVAL BY DANE CCO/UNNf�TY ZONING IS ONLYF/FOR THE PLAN AS PPPREESENNNTED. ANY MODIFICATION TIIL��O THTHE Conditions. PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS A M VyITHO T THE EXPRESS WRITTEN APPROVAL 9F DANE COUNTY ZONING. ' w /0,2-5(3)r� • 6,'rre ,-kcii- S15 31 //6/01 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DA COUNTY ZONING WHEN TH F UNDATION/ o ) 545-112(12105) GCS-single D+ 7 l '75 < 2,i K q f c An r