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DCPZP-2008-00427
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DCPZP-2008-00427
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DCPZP-2008-00427
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Ap•libation Number:APP-22638 <br /> ''DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080427 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRIAN PONGRATZ (608)831-7037 HENSEN BUILDERS INC (608)849-4736 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7650 RILES RD. 110 BAKER ST. STE. B <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON,WI 53562 WAUNAKEE,WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HENSENBUILDERS @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0808-202-9210-0 SPRINGFIELD 20 NW SW <br /> 1:b]1I I i-/_\'1'1:144AM HOUSE NO. `� ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject L� / I <br /> to field verification.) r(.'f (r RILES RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CERTIFIED SURVEY MAP: CSM 11391 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 21 New ❑Addition/Alteration CENSUS CODE <br /> RH-1 101 101 - SFR <br /> CATEGORY V Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR ❑Public )I Private 518029 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ y�I Yes pt No ❑Yes V No ❑Yes V No <br /> HEIGHT(In Feet) BASEMENT ist FLOOR TOTAL SQUARE FEET <br /> 7048 <br /> 32 4462 <br /> Sq.Ft.• 2586 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 405,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. 579.00 <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 SIGN -E: Owne Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit , / 6 -Q p <br /> LL41li �_ 3 0 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes )41 No 30 Jun 2008 CHS1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 6/2771 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. 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 AN 1 IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS /�/� <br /> 2. SURVEY 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(12/05) GCS-single I ,. <br /> G1� q )Qv /�' 0/1-3/) . ivy' COv+�� <br /> Q f �°��`" 4) c�wly r k n/�3 Cam— /ops 7044 <br />
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