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• <br /> Application Number: ZP-20021465 <br /> . DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20021465 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JON ENGELHART 608-839-8395 JON ENGELHART 608-839-8395 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2922 LANE ST 2922 LANE ST <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53718 MADISON, WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-064-6879-4 COTTAGE GROVE 06 SE SE <br /> •2 t'1 14:b t /_A PI4:A 4$ HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2922 LANE ST <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 99 NONDAHL HEIGHTS, FIFTH ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE <br /> Residential 0.560 AC Description: Addition of Res Garage <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> 2t Other:Addition/alteration ❑Public 1EJ Private 0 <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 0 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �� WETLAND EC/SW NO. <br /> CI Yes JW No ❑Yes )4 No ❑Yes .4 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 18.000 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 9,800.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 69.00 <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 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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ❑No 25 Nov 2002 PDA <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> F.THE COMBINED TOTAL OF THE SIDE YARDS MUST EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE LESS THAN IS FEET.MINIMUM REARYARD SN50 FEET.REQUIRED SETBACK <br /> C /'t • FROM SEPTIC SYSTEM IS 10 FEET FROM FIELD 5 FEET FROM TANK.MINIMUM SETBACK FROM THE FRONT PROPERTY LINE IS 30 FEET.- APPLICANT INITIALS-LOCATION OF THIS <br /> onditions. BUILDING IS CRITICAL A LOCATION SURVEY WILL BE REQUIRED TO VERIFY LOCATIONAL COMPLIANCE.THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR AND <br /> SHALL BE DONE AT THE TIME THE CORNER POSTS,FOUNDATIONS OR BASEMENT WALLS ARE COMPLETED.SUCH SURVEY SHALL BE ZONING OFFICE PRIOR TO THE CONTINUATION OF <br /> WORK ON THE PROJECT.THIS ADDITION MAY NOT BE USED AS A BEDROOM.USE AS A BEDROOM REQUIRES APPROVAL FROM DANE COUNTY ENVIRONMENTAL HEALTH AND MAY <br /> ALSO REQUIRE AN INCREASE <br /> FEET.- APPLICANT INITIALS-LOCATION OF THIS BUILDING IS CRITICAL.A LOCATION SURVEY WILL BE REQUIRED TO VERIFY LOCATIONAL <br /> COMPLIANCE.THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR AND SHALL BE DONE AT THE TIME THE CORNER POSTS, <br /> FOUNDATIONS OR BASEMENT WALLS ARE COMPLETED.SUCH SURVEY SHALL BE ZONING OFFICE PRIG TO THE CONTINUA ION OF W RK O THE <br /> 1 PROJECT.THIS ADDITION MAY NOT BE USED AS A BEDROOM.USE AS A BE DROOM REQUIRE FROM 14 1/ 0) /©(7! <br /> /0/06 pOtA.P-e_ <br />