DCPZP-2008-00381 - Laserfiche WebLink

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Ap•Iication Number:APP-21880 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080381 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JUSTIN HUEBNER (608)767-3092 MARK STEWART (608)712-2795 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) PO BOX 202 N 9693 KAHN (City,State,Zip) (City,State,Zip) BLACK EARTH, WI 53515 PORTAGE, WI 53901 E-MAILADDRESS E-MAILADDRESS LAN D MARK5757 @YAH OO.CO M PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0707-061-8342-0 CROSS PLAINS 06 NE NE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 9177 COUNTY HIGHWAY KP LOT BLOCK C.S.M.NO.or PLAT NAME 3 CERTIFIED SURVEY MAP: CSM 10660 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE RH-3 11.106 Description:SFR W/OPEN DECK 101 - SFR CATEGORY $f Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SFR W/OPEN DECK ❑Public XJ Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B 8562 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. A Yes ❑No BSI Yes ❑No ❑Yes X No 20080107 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 5616 32 Sq.Ft. 1630 Sq.Ft. 2710 PROJECT COST NO.OF STORIES 2nd FLOOR 3.rd FLOOR $ 350,000.00 1276 PERMIT FEE 2 Sq.Ft. Sq.Ft. 471.00 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 zonin• inspec ors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances. his cons nt is v. id for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of complia .e or until -arlier evoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNAT -E: 0 444!ent DATE: Ordinances.Any unauthorized change from the information 0 or plans submitted will invalidate the pem►it • 4 , 1' f ar OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INS IONI°ATE Sy IA • ❑Yes INo 12 Jun 2008 RLB T(( I � r�JC'/� DATE REVIEWED T1 INI IALS 2nd INSP TI /D /rte. I�NITTIIALLS`J Initials: v/lT�(/ F°'L J J�J Vie LYV 1.THIS APPROVAL BY DANE COl7NTY ZONING IS ONLY FOR THE PLAN AS PRES NTE`D.. 'ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIF CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 2. SU E SORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single