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Ap.Iication Number:APP-28193 <br /> DARE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080846 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RYAN SIPPEL (608)203-6052 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1246 TWINLEAF LN <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53719 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HENSENBUILDERS @TBS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0808-351-9785-0 SPRINGFIELD 35 SE NE <br /> •a:Z4 Li 4:I i"/c\'7I1:I*1AM HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 6648 GREENBRIAR RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 10548 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: gl New ❑Addition/Alteration CENSUS CODE <br /> R-1 1.1 Description:SINGLE FAMILY DWELLING WITH DECK 101 - SFR <br /> CATEGORY ;j1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other:SINGLE FAMILY DWELLING WITH DECK ❑Public Private 518193 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 2392 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �I EC/SW NO. <br /> �I �r1 pl <br /> Oyes pt No ❑Yes ,[al No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 32.25 1796 3163 6223 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR $rd FLOOR $ 350,000.00 <br /> 1264 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 515.38 <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 SIG . Owne, ent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit 62----7.1.....„wo Alia01 /7 or <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Y �jl�No 30 Oct 2008 RWL1 <br /> iY/ DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <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 FICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS G <br /> 2. SANITY PERMIT IS APPROVED FOR 4 BEDROOMS. SANITARY PERMIT REVISIONS WILL BE <br /> NEEDED WITH THE INSTALLATION OF THE FUTURE BEDROOM IN BASEMENT AREA. <br /> 545-112(12/05) GCS-single / j Is/O n tQ P.4` to-0? ( /1 N 001)--‘t 1 <br /> 0 o e ,.,`,rj V c*loc1- N>'n,as- 4om ia0c____ 4V3A-1^f7/4„,-/(oil, <br />