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1`1;1`+ ••- Veih`S l hvyus 519erivoeywt S 5 1006. ( nQ R6 1 -f <br /> Ap•lication Number: P-24593 <br /> D A <br /> A .HI O U le7 <br /> �� Z • NING PE ' ii ZONING PERMIT NO. <br /> �� A �, ,/ ZP20080624 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRA—OR NAME PHONE <br /> JON RAWLING (608)203-6167 ED HEFTY CONSTRUCTION LLC (608)835-7804 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3253 FERNGLADE RD 1036 HILLCREST LN <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 OREGON, WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION y4 Y. 1/4 <br /> 0708-323-4168-1 MIDDLETON 32 SW SW <br /> Jail J 4 A AWA 1111;4*-1-111 HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3253 FERNGLADE RD <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 28 PLAT: GLACIERS END <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Igl New ❑Addition/Alteration CENSUS CODE <br /> A-1 •95 Description:SFR 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT N ��j•• <br /> ❑Other:SFR ❑Public 518066 5 9 l;8 <br /> �I 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 A No ❑Yes X No ❑Yes A No <br /> HEIGHT(In Feet) 001 BASEMENT 1�s FLOOR •TAL SQUARE FEET /- , <br /> 17.5 ?,',4 2521 3.1• 8219 ��` <br /> Sq.Ft. Sq.Ft. PROJECT COST ■ <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 646,418.00 <br /> 1798 k• PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 666.00 <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 'on. <br /> 2. I,the undersigned,hereby certify that: P-3• 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 1 (� ` ? tT Ce-Q18 <br /> OFFICE USE ONLY <br /> SURVEY R a r ED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> MI28 Aug 2008 SCW1 <br /> ( DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: i Co a fir-. <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 MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS°e�1+, , <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 /> ` <br /> 545-112(12/05) GCS—`angle L i/�n -]r t � ? <br />