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. <br /> Application Number:APP-27500 <br /> DA► •- _ • NTY ZONING PERM( ZONING PERMIT NO. <br /> ZP20080808 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME ' PHONE <br /> URTIS JENSE (608)772-2859 1 SAME AS OWNER (608)225-4818 <br /> BI - G ADDRESS er,Street) •DDRESS (Number,Street) <br /> 3214 BURKE RD 2 <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 r <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HLMEYER @VERIZON.NET <br /> PARCEL NO. i TOWNSHIP SECTION 4 1/4 1/4 <br /> 0810-244-9502-0 BURKE 24 'E SE <br /> Li:fel a 4 A i"/_111ILI*111111 HODS, NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) BURKE RD <br /> LOT BLOCK C.S.M.Nu.Q PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration C'NSUS CODE <br /> A-1 26.6 Description: R 101 - SFR <br /> CATEGORY ,4 Residential ❑Commercial 1 Agricultural SEWER ANITARY PERMIT NO. <br /> ❑other: ❑Public 7�J Private 5(g(1-1 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Dyes )4 No ❑Yes XNo ❑Yes )4 No PENDING <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 129 2258 4451 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 225,000.00 <br /> 901 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 384.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit only .r the location and the ark described herein and certify to the accuracy of that <br /> information. I further certify I am the owner of the property, or a duly a thorrepresenta. e,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 o it' ns of thi permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provision of. e rmit ren.-rs 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 th- .ppl' -nts'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval • he appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these .:' rances; <br /> • I understand the possible adverse consequences of erecting any structure within . officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an offici. •• , . . sr 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 : emises by zoning inspectors of th- Dan- ounty Department of Planning & <br /> Development to determine compliance with the county's zonin. .rdinances.This consent is valid for the perco • encing with issuance of this <br /> zoning permit and terminating with issuance of a certific. e of compliance or until earlier revoked in wri' g by e owner of the property. <br /> Owner 8,Agent hereby agree to comply with all Dan• ounty I . ATU • 0 n_I•ge t DATE: <br /> Ordinances.Any unauthorized change from the inf. .tion i1 I ( I I IA 1 , <br /> or plans submitted will invalidate the permit <br /> la `� . . . A.L L, , A 1 4. 1, <br /> OFE!c :.;SE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPEC Mr.TE INITIALS <br /> ❑Yes X No 21 Oct 2008 DJE1 <br /> 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. PROJEC EQ RES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF •"'t Si (CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS !\. <br /> 545-112(12/05) GCS-single <br />