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1 <br /> Ap•lication Number:APP-23540 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080525 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KEITH BENSON 1(608)437-7166 INSTYLE SCREENROOM & DECK (608)592-0056 <br /> BILLING ADDRESS (Number,Street) D ADDRESS (Number,Street) <br /> 3616 GLENN LN 3000 k j 1 630 SUNRISE DR., <br /> (City,State,Zip) /' . City,State,Zip) <br /> MIDDLETON,WI 53562 M* 14A '(''P ODI,WI 53555 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> '5.3,5 ?bl DECKORO @INSTYLEDECKS.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0607-044-9302-0 SPRINGDALE 04 SE SW <br /> I♦ a•1»:i CM A00:1441.HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3000 COUNTY HIGHWAY P <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 09462 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gl Addition/Alteration CENSUS CODE <br /> A-1 7.2 Description:CONVERT DECK TO SCREEN RM; REDO DECK 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:CONVERT DECK TO SCREEN RM; REDO DECK ❑Public g Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �I EC/SW NO. • <br /> EL <br /> ,+off ��yyt{Yes ❑No ❑Yes ,+'1 No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 301 <br /> 19 301 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 23,500.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 73.00 <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 zonin. '-- -ctors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This > sent i valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance • until -.rlier - .ked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County NATU- : • ner/Ag E: <br /> Ordinances.Any unauthorized change from the information _ �0 <br /> or plans submitted will invalidate the permit /-i.,� .' ' 1 •� • . <br /> OFFICE US'r_ ONLY <br /> SURVEY REQUIRED DATE ISSUED INITIALS 1st I NItIECTIQ DAT I[ITIALS <br /> ❑Yes ��i 0 29 Jul 2008 HJH3 ~ 1 i 4 K <br /> MaiIf ` C`DATE REVI I1 ^ OE INITIP MIA 2nd IN ECT\QN DATE t� INITIALS� <br /> 1. - 1.U BY DIANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions. PROJECT " �'•lRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND•• i� IF lie IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> 2. SU- w ►. ISORY 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 <br />