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Ap.lication Number: APP-26310 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080773 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEVEN PAGE (608)837-7295 SAME AS OWNER (608)212-8525 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2229 COUNTY HIGHWAY T <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SPAGE @WEBCRAFTERS-INC.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-221-8701-0 SUN PRAIRIE 22 NE NW <br /> NB,;Tel J 4:i WWII 11 r1:7*-11/11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject • <br /> to field verification.) 2229 COUNTY HIGHWAY T <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 07432 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gi Addition/Alteration CENSUS CODE <br /> RH-1 2 Descnption:POOL&DECK 434 - RES ADD <br /> CATEGORY V Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:POOL&DECK ❑Public )J Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND y� EC/SW NO <br /> CI Yes A No CI Yes XI No CI Yes A No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 52 1304 1304 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 5,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 148.00 <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 inspecto . of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.Thi- :nsent is v. . . the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliant= or ntil earlie - . ed in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU : •w4 e/Age / DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit • 'F E` 4C /0 9/4/ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes X]No 07 Oct 2008 CHS1 //.S h 7 /� f.-/S <br /> DATE REVIEWED INITIALS 2nd INSPECTION INITIALS <br /> Initials: /// .eLli <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 DIFICATIONS AnR MADE/WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE <br /> ) CO?TY ZONING_ <br /> INITIALS 11/ e C (G b � h a KC i ,` I/3/4i it: Lj(3) b)/ i `Y <br /> )( <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />