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vr Application Number:APP-14074 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. <br /> ZP20071034 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREGORY GRANBERG (608)575-0329 BECKMAN BUILDERS, LLC (608)846-3341 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4419 GOODLAND PARK RD 7571 CONIFER COURT <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53711 DEFOREST,WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BETTEANDGREG @GMAIL.COM KARL @BECKMANBUILDERS.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-082-6313-9 DUNN 08 NW SE <br /> :Isla 4 I m►•/d 11 DI:7 4411/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 4419 GOODLAND PARK RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 PLAT: DUNN ASSESSOR'S PLAT NO. 1 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ZSI Addition/Alteration CENSUS CODE <br /> R-3 .201 Description:SPLIT LEVEL ADDITION 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other SPLIT LEVEL ADDITION Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Yes 0 N ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1s]FLOOR TOTAL SQUARE FEET <br /> 27 600 600 1200 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR <br /> 120,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 140.00 <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: •wner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit • /� / C2 0 e <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes ,4 No 02 Jan 2008 pmk2 <br /> y/ DATE REVIEWED INITIALS 2nd INSPECTION D TE INITIALS <br /> Initials: 1 '4.) " 13© / <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. A MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V IF Q�tj(, <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS A <br /> 2.SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME <br /> THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 545-11 12/051 GCS-multi f I-� <br /> �1 �'3/o�d IQev 4 itrcJ„jt ���k.-hvt/ <br />