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DCPZP-2008-00604
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DCPZP-2008-00604
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DCPZP-2008-00604
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Ap•libation Number:APP-24390 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080604 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BAY VIEW HEIGHTS INC (608)873-7725 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 910 CHARLES LN <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-262-9000-3 DUNN 26 NW SW <br /> M 2 (']J 4 a 1M1'l'i N 4-41111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject • <br /> to field verification.) 910 CHARLES LN <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> CERTIFIED SURVEY MAP: CSM 00765 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> R-4 Description:10'X 10'SHED 328 OTHER NON-RES <br /> CATEGORY ; I Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: X Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A 1268 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �y�I EC/SW NO. <br /> ❑Yes X No ❑Yes .+��1t�h No ❑Yes ,icy No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 100 <br /> 12 100 <br /> Sq.Ft. , Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3r FLOOR $ 800.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 58.00 <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 D•TE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit r4 //, . -' ■ ■ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION ATE INITIALS <br /> ❑Yes )41 No 21 Aug 2008 DJE1 3/al/ De <br /> DATE REVIEWED INITIALS 2nd INSPECTI DATE INIT L • <br /> Initials: 3/Z.y ,o, -1' to <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESS TED. ANY MODIFICATION TO THE <br /> Conditions. PROJEC EQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF A Y 0 IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS ff <br /> • <br /> 545-112(12/05) GCS-single <br /> • <br />
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