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• <br /> Ap.Iication Number:APP-25687 <br /> - ' DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080718 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREGORY HOUTHUIZEN (608)235-0922 IN STYLE SCREEN ROOM &DECK Lo (608)592-0056 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4278 COUNTY HIGHWAY AB 630 SUNRISE DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53704 LODI,WI 53555 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DECKPRO @INSTYLEDECK.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0710-141-8165-1 BLOOMING GROVE 14 NE NE <br /> -a:T•]4 a th i 1l II:1*I1.1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4278 COUNTY HIGHWAY AB <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gl Addition/Alteration CENSUS CODE <br /> A-1 EX .75 Description:SCREEN PORCH 10X10 434 - RES ADD. <br /> CATEGORY 23 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SCREEN PORCH 10X10 ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND yy�� EC/SW NO. <br /> ❑Yes ��{{No ❑Yes ,17,1 No ❑Yes pt No <br /> HEIGHT(In Feet) BASEMENT jf FLOOR TOTAL SQUARE FEET <br /> 12 100 100 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 8,100.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 58.00 <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 i lectors of the Dane County Department of Planning'& <br /> Development to determine compliance with the county's zoning ordinances.This co•.-nt . valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance o, ntil e•rlier revoked in writing by the owner of the property. <br /> / <br /> Owner&Agent hereby agree to comply with all Dane County SI c ,ATU- : Ow''r/ gen 14 DATE: <br /> Ordinances.Any unauthorized change from the information / �' ^ <br /> or plans submitted will invalidate the permit CI <br /> OFFICE USE ONLY <br /> SURVEY REQU' D'? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑ -s .t, o 23 Sep 2008 HJH3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: Ill, <br /> /\ 1.THIS AO <br /> i�AL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions. PROJ IRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID /ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INI , •• <br /> 2. ;� R V 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 1/74—/ <br /> I onk 5 C 0 Alpitik <br />