DCPZP-2009-00398 - Laserfiche WebLink

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Ap•lication Number: APP-35563 'DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090398 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION AI! OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE j JERRY DORN (608)837-2039 SAME AS OWNER BILLINGADDRESS (Number,Street) ADDRESS (Number,Street) 6784 VALE RD (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/a 0911-291-3846-0 BRISTOL 29 NE Nw PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 6784 VALE RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 76 PLAT: PRAIRIE VIEW HEIGHTS-2ND ADDITION ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New liZI Addition/Alteration CENSUS CODE R-2 0.556 Description:40'X 14'X 6'STEP&DECK ADDN TO SFR 434 - RES ADD CATEGORY ;83 Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. ❑Other: LI Public ;t4 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E 2107 ❑Yes ❑No SHORELAND FLOOD ZONE yam{ WETLAND EC/SW NO. ID Yes A No LI Yes )4 No LI Yes A No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 6 388 388 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES Znd FLOOR Srd FLOOR $ 1,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 79.00 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 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 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 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. 2. I,the undersigned, hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIG 1 ,TURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit ■IA N VAA i. _'1'0 r OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS st INSPECTION DATf INITIALS ii ❑Yes A No 09 Jul 2009 RLB 9` 2-//0 41'22 /J DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials:( c'`4 ) 9/ 2-i/4 9 4L� �" 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF AN ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIAL 2. SU Y A ISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. /// 1r v 7 �� S6�( � c Ya vc� 545-112(t2ro5) GCS-single A (,o , , � S c IJ « 1 (((JJJ