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DCPZP-2009-00682
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DCPZP-2009-00682
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DCPZP-2009-00682
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• I 1 <br /> Application Number:APP-38700 <br /> DANE COUNTY ZONING PERMIT Page 1 of ZONING PERMIT NO. <br /> ZP20090682 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME -�— PHONE AGENT/CONTRACTOR NAME PHONE <br /> EVELYN MArDEfj�4{�.�,RC'/ [t/�1408)436-6136 PETE SMITH CONSTRUCTION, INC. (920) 723-4232 <br /> BILLING ADDRES (Number,Street) ADDRESS (Number,Street) <br /> 587 ACADEMY DR W8797 LAKE LORRAINE RD <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON, WI 53534 DELVAN,WI 53115 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0512-214-6314-6 ALBION 21 SE SE <br /> Li a4,4 C1i 11"/111I 17 N* .1 HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is subject 587 ACADEMY DR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CERTIFIED SURVEY MAP: CSM 03402 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE <br /> A-2(4) 6.33 <br /> Description:REPLACING EXISTING SFR 101 - SFR <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: N Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 6070 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 111 FLOOR TOTAL SQUARE FEET <br /> 18.5 1400 2300 3700 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 175,000.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 328.00 <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 RE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit. , )3 —. <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> X Yes El No 23 Oct 2009 SSA1 <br /> c DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: re' - <br /> COndltlOnS: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOI )NY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS / • <br /> 2.SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE <br /> SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE <br /> FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT <br /> THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. <br /> 545-112(12/05) GCS-multi <br />
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