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Application Number: ZP-20021526 DANE COUNTY ZONING PERMIT ZONIP2 021526 NO. Z021526 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION • OWNER NAME PHONE AGENT/CONTRACTOR NAME P.• JANICE ANDERSON MARK KANVIK BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2782 CORTINA DR (City,State,Zip) (City,State,Zip) MADISON, WI 53719 E-MAILADDRESS E-MAIL ADDRESS PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0610-232-0001-6 DUNN 23 NE NW a'11.110 D1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2315 COUNTY HIGHWAY AB LOT BLOCK C.S.M.NO.gl PLAT NAME 1 4 2ND ADD. ORVOLD'S PARK ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE R-3 0.46 AC Description: 434 - RES ADD CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. XOther:Addition/alteration ❑Public 1E1 Private 0 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B 0 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes JAI No ❑Yes X No ❑Yes X No HEIGHT(In Feet) BASEMENT Ist FLOOR TOTAL SQUARE FEET 0.000 Sq.Ft. Sq.Ft. PROJECT COST NO OF STORIES 2nd FLOOR Iir FLOOR $ 4,000.00 PERMIT FEE Sq.Ft. Sq.Ft. $ 36.30 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 owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INS I INITIAL ❑Yes Li No 20 Dec 2002 10 ii ✓ f c s INITIAL DATE REVIEWED INITIALS 2nd IN TIO A E J1tll I{{IALS- Initials. �` f.-� (�l' r\j—IPA Cii1:1yK- 1.MINIMUM SETBACK FOR STRUCTURES IS 75 FEET FROM THE CENTER OF THE RIGHT-OF-WAY OR 42 FEET FROM THE Conditions: RIGHT-OF-WAY LINE,WHICHEVER IS GREATER.REQUIRED SIDE YARD 10 FEET EACH SIDE REQUIRED REAR YARD 25 FEET. DECK IS NOT INCLUDED IN THIS PERMIT. LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE. LDING IS CRITICAL. A LOCATION SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE. 545-112(12/05) GCS-single