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DCPZP-2008-00663
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DCPZP-2008-00663
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DCPZP-2008-00663
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t , • Ap•lication Number:APP-25015 <br /> DANE COUNTY ZONING PERMIT. ZONING PERMIT NO. <br /> ZP20080663 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRENT RADKE (608)523-1435 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 10626 LEE VALLEY RD <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0506-324-9051-8 PERRY 32 SE SW <br /> Li a4»a IIWA'1l1:4*ills HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 10626 LEE VALLEY RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration CENSUS CODE <br /> A-1EX 40 Description:CONVERT BARN TO SFR 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:CONVERT BARN TO SFR ❑Public Private 518119 <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 /> ❑Yes Bi No ❑Yes X No ❑Yes X No 20080046 <br /> . HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 29 2057 3426 6881 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 165,000.00 <br /> 1398 PERMIT FEE • <br /> 2 Sq.Ft. Sq.Ft. 566.00 <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 writin by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: OwnerlAg= DATE: <br /> Ordinances.Any unauthorized change from the information �S— <br /> or plans submitted will invalidate the permit ��� �j �/D -D$ <br /> OFFICE li E ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st I PECTION DATE INITIALS <br /> ❑Yes No 10 Sep 2008 HJH3 '7 '1 '-07 f r\K <br /> DATE REVIEWED INITI <br /> LS 2nd INSPECTION DM I ITIALS <br /> Initials: / " to- o8 ¢' `K .. G^ I t11C <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 AVXXODIFICATIONS 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 <br />
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