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DCPZP-2008-00473
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DCPZP-2008-00473
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DCPZP-2008-00473
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Ap.lication Number:APP-22954 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080473 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TIMOTHY VICK (608)239-4681 INSTYLE SCREENROOM & DECK (608)592-0056 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2177 FALLEN OAK TRL 630 SUNRISE DR., <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 LODI,WI 53555 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0611-341-6868-3 PLEASANT SPRINGS 34 NE SE <br /> M:Mal J4iti'M\elil;l4=1F11111HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2177 FALLEN OAK TRL <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.2 PLAT NAME <br /> 18 PLAT: OAKWOOD HILL-NORTH <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New XI Addition/Alteration CENSUS CODE <br /> R-1 0.784 Description:14'X 18'SCREEN ROOM WITH DECK AND STAIRS. ALSO,REPLACING 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public gI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 1914 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND y� EC/SW NO. <br /> ❑ pl <br /> Yes )4 No ❑Yes X No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 694 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR FLOOR $ 21,000.00 <br /> PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 102.00 <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 zoni : ins,-ctors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This • se is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance o un" earlier - ok— riting by the owner of the property. <br /> Owner It Agent hereby agree to comply with all Dane County SIbNATU-.-. Owner/A•= DATE: <br /> Ordinances.Any unauthorized change from the information I -7/4 C <br /> or plans submitted will invalidate the permit .\110`.� <br /> OFFICE USE ONLY <br /> SURVEY REQUI- DATE ISSUED INITIALS 1st INSPECT! N DATE INITIBLSA <br /> ❑Y . / Fa No 1I0 Jul 2008 DJE1 Z 2 Z G <br /> DATE REVIEWED INITIALS 2nd INSPEC ION DAT / INITIIAL <br /> Initials: ( /L 2 Z/ 0 ✓ <br /> • 1.THIS APPRO to DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED.ZANY MODIFICATION TO THE <br /> Conditions: PROJE f2ED- i :THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ' s Dl CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS '�__ <br /> 2. SURV ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112 112/051 GCS-single <br />
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