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A..lication Number:APP-819 <br /> D. NE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20060926 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREAT NEIGHBORHOODS WEST LLC (608)226-3191 VERIDIAN HOMES 608-226-3191 <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 /> FGARCIA @VERIDIANHOMES.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-203-0112-0 MIDDLETON 20 SW NE <br /> Ilia:fel 4 A CR:11111:7 4*M . E NO. - .DIRECTION STREET NAME ST.TYPE <br /> (Assignment of address 3661 INT 4d TRL <br /> to field verification. <br /> LOT BLOCK C.S.•. O.or PLAT 1AME <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: M New ❑Addition/Alteration CENSUS CODE <br /> A-1 0 Description:SFR W/12 X 12 DECK 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public M Private 501909 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes L7 No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes )4 No ❑Yes X]I No ❑Yes XI No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6623 <br /> 32 1857 <br /> Sq.Ft. 1857 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 217,000.00 <br /> 2074 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 547.00 <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 SIGNATUR : Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information _ <br /> or plans submitted will invalidate the permit '0-74(41 <br /> O <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes No 24 Oct 2006 CHS1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 1 0( <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions. PROJECT RE.UIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ' '.n IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS .a <br /> 2. SURVEY•DVISORY 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 />