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Ap.lication Number:APP-21656 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080356 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> LYNN JOHNSON (608)347-6487 HEINZ CONSTRUCTION (608)347-6487 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7755 OX TRAIL WAY 8804 BLYMM RD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 MAZOMANIE, WI 53560 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-304-2025-0 MIDDLETON 30 SE Nw <br /> 111J:Tel a 11WA 01'l:4*f=n HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 7755 OX TRAIL WAY <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.gr PLAT NAME <br /> 15 PLAT: CHERRY WOOD VIEW <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gI Addition/Alteration CENSUS CODE <br /> R-1 .51 Description:ATTACHED GARAGE ADDITION 434 - RES ADD <br /> CATEGORY l Residential ❑Commercial Li Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other. ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 1971 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE ��y{{ WETLAND EC/SW NO. <br /> ❑Yes )4 No ❑Yes ,1�1 No ❑Yes V No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 498 <br /> 9 498 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Id FLOOR �P 18,500.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. �P 87.00 <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 <br /> or plans submitted will invalidate the permit ( 0 ( — <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECtir ir INITIA S <br /> A Yes ❑No 06 Jun 2008 SSA1 4))��4 <br /> DATE REVIEWED INITIALS 2nd INSPECTI .� / INITIALS <br /> Initials: 1 c� 4 J 7lj r <br /> ! <br /> 1.THIS APPROVAL BY DANE U TY ZONING IS ONLY FOR THE PLAN AS PRE TED. 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 MO�FICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS A-. <br /> 2. SURVEY REQUIREMENT: 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/ <br /> 545-112(12/05) GCS-single <br />