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DCPZP-2009-00668
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DCPZP-2009-00668
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DCPZP-2009-00668
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mi.1 IR:cUlul l IVUI11uel.,-rr-Jouvc <br /> 'DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090668 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TOBIN JANSENBERGER (608)848-2055 PULVERMACHER CONSTRUCTION (608)712-3540 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 9 KRESTELLER CIR PO BOX 305 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53719 WAUNAKEE, WI 53597 <br /> E-MAILADDRESS E-MAILADDRESS <br /> INFO @PULVERMACHER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0808-312-0001-0 SPRINGFIELD 31 NW NE <br /> J J 4;11"/d']'],l IIII HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 7798 AUTUMN POND TRL <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 PLAT:AUTUMN POND <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 21 New ❑Addition/Alteration CENSUS CODE <br /> R-1A 1.685 Description:SFR W/PORCH&COVERED AT GRADE PATIO 101 - SFR <br /> CATEGORY ,1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other:SFR ❑Public Private 520420 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 11 Xi <br /> Yes No ❑Yes No ❑Yes XI No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6148 <br /> 15 Sq.Ft. 2558 Sq.Ft. 3590 PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 380,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 511.00 <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 SIGNATURE: Owner/Agen DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit /I L`C - /40 /4; r,?G?5 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes xi No 16 Oct 2009 SCW1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: U/ /? <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF Pbl,Y <br /> MODIFICATIONS MADE ITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS Ve/- <br /> /7// o _/() . o <br /> 2. SURVEY ADVIS RY NOTE: A LOCATION'SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDINGS ONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> I1�j/0— ir rJ LIy) �Jn f 1�C.,(o"/G <br /> 545-112(12/05) GCS-single <br />
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