DCPZP-2009-00687 - Laserfiche WebLink

Home Browse Search

Ap.Iication Number:APP-38730 • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090687 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE WINDSOR,TOWN OF (608)846-3854 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 4084 MUELLER RD (City,State,Zip) (City,State,Zip) DEFOREST,WI 53532 E-MAIL ADDRESS E-MAIL ADDRESS AMY @WINDSORWI.GOV PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0910-293-8521-2 WINDSOR 29 SW NW I♦ :Isla I:11Is"/c\'l Il:1* 1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 4433 WINDSOR RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 14 Addition/Alteration CENSUS CODE A-3 16 Description:ADD CONCESSION STAND TO EXISTING PARK SHELTER 329 - OTHER CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. XOther:ADD CONCESSION STAND TO EXISTING PARK SHELTER 14 Public ❑Private NA ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND 1�t FLOOD ZONE �1 WETLAND �t EC/SW NO. ❑Yes No ❑Yes X]I No ❑Yes pt No NA HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1778 1778 12 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR •P 10,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 0.00 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 ordinance . his c ent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compl' nc or unt earlier rev a in writing by the owner of the rop . Owner&Agent hereby agree to comply with all Dane County SIGNATU E: Owner Agent DA E: / Ordinances.Any unauthorized change from the information / or plans submitted will invalidate the permit ✓ , OFFICE USE ONLY SURVEY REQUIRE*? DATE ISSUED INITIALS 1st INSPECTION *ATE INITIALS ❑Yes .. ;�l • 26 Oct 2009 HJH3 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: w 1. HIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION T• E P-OJ Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AN.VO!/y; MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 2. FEE EXEMPT FOR STRUCTURE OWNED BY MUNICIPALITY I o7S /©— f Or ks 545-112(12/05) GCS-single CO4Plilk