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Ap•libation Number:APP-24094 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> i. ZP20080584 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DSH REAL ESTATE LLC (608)226-3100 VERIDIAN HOMES (608)226-3100 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 6801 SOUTH TOWNE DR 6801 SOUTH TOWNE DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53713 MADISON, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0910-203-1220-0 WINDSOR 20 SW NE <br /> a[(61 a 4 A 11-/.1 I]11:1 *1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4385 SINGEL WAY <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 210 PLAT: HOLLAND FIELDS-FIRST ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2I New ❑Addition/Alteration CENSUS CODE <br /> R-3 .212 Description:SFR W/DECK AND PORCH 101 - SFR <br /> CATEGORY V Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR W/DECK AND PORCH XI Public ❑Private 5344 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 8893 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE � WETLAND EC/SW NO. <br /> ❑Yes ,ICJ No Li Yes Yes .+�I No ❑Yes X No <br /> HEIGHT(In Feet) ' BASEMENT if FLOOR TOTAL SQUARE FEET <br /> 3862 <br /> 18 1834 <br /> Sq.Ft. 1014 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 190,000.00 <br /> 1014 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 340.00 <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 �J <br /> or plans submitted will invalidate the permit r-/ •6 6 `I14_0" <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes ❑No 14 Aug 2008 pmk2 ' <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: -,4 0 <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 CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVEY R Q IREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ o <br /> 545-112(12!05) S-si le .rl 6 �f�1 <br /> 17 ()/C -/1 0� -�°Artefrk <br /> `/9/ QC)-- /moo/4 C—c) <br />