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' Ap•libation Number:APP-25005 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080661 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DEREK TEFF (608)831-1895 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4617 HIGHFIELD RD <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON,WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DRTEFF @CHARTER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-043-2177-0 MIDDLETON 04 SW Nw <br /> •LI:i•]»:iCffl•]•I 14 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4617 HIGHFIELD RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 45 PLAT: WHISPERING WINDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New XI Addition/Alteration CENSUS CODE <br /> A-1 1.2 Description:10X18 ADDN TO EXISTING DECK 434 - RES ADD <br /> CATEGORY $j Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 10X18 ADDN TO EXISTING DECK ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes X No ❑Yes X No ❑Yes No <br /> No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3 180 180 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR FLOOR $ 700.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 64.00 <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.Th. • .ent is valid for the period commen '•• with issuance of this <br /> zoning permit and terminating with issuance of a certificate of complian•- or unt earlier revoked in writi•• .• he owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNAT - : Own r/Agel t DATE: <br /> Ordinances.Any unauthorized change from the information , `j (tb)0$ <br /> or plans submitted will invalidate the permit 'A._ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TIT DA INITI /�� <br /> ❑Ye l 10 Sep 2008 HJH3 �0p • `' <br /> DATE REVIEWED INITIALS 2nd INSP T r_r_ INIT1q,L$,\ <br /> Initials: i 6� �(/1`JI <br /> 1.THIS APPROVAL BY t-NE COUNTY ZONING IS ONLY FOR THE PLAN AS HSENTED. ANY MODIFICATION TO THE <br /> Conditions. PROJECT REQUIR : HE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF AN 1 ►CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS WH <br /> 545-112(12/05) GCS-single <br />