DCPZP-2008-00430/431 - Laserfiche WebLink

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PERM t'T o i r 55 C vi Ap•lication Number:APP-22684 DANE COUNTY ZONING PE MIT ZONING PERMIT NO. ZP20080430 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE WESLEY NELSON (608)767-3055 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5005 REEVE RD (City,State,Zip) (City,State,Zip) BLACK EARTH, WI 53515 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0806-312-8850-0 BLACK EARTH 31 NW NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STR NAME ST.TYP (Assignment field new address is subject ,,�,•,�/! 'PAU° to field verification.) `� (�'—J LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 12318 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: RI New ❑Addition/Alteration CENSUS CODE RH-2 5.92 Description:18.X 36' INGROUND POOL 328-OTHER NON-RES CATEGORY ZI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public XI Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND �t FLOOD ZONE �t WETLAND yet EC/SW NO. pf ❑Yes No Oyes )4 No ❑Yes pt No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 648 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3�1r FLOOR $ 27,000.00 PERMIT FEE Sq.Ft. Sq.Ft. $ 99.00 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 SIGNAT RE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information /nn or plans submitted will invalidate the permit /`, ileLL 0/1 61 0• OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIONCITE IN ❑Yes )41 No 01 Jul 2008 DJE1 r 9. DATE REVIE D • it INITIALS 2nd INSPECTION INIT Initials: 1.THIS APPROVAL BY DANE 6 NTY ZONING IS ONLY F THE PLAN AS PRESENTED. A Y MODIFICATION TO THE Conditions. PROJECT 'EQUIRES TH EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF • Y ODIFICA ONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS lb of •u? 545-112(12/05) GCS-single