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DCPZP-2009-00622
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DCPZP-2009-00622
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DCPZP-2009-00622
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Application Number:ZP-20010109 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20010109 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> THOMAS FLICKINGER THOMAS FLICKINGER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> SAME SAME <br /> (City,State,Zip) <br /> (City,State,Zip) <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0706-321-9190-9 VERMONT 32 SW NE <br /> J:t'l J I;I Et'111 cl*1 HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is subject COUNTY HIGHWAY F <br /> to field verification.) 3350 <br /> LOT BLOCK C.S.M.NO.pr PLAT NAME <br /> EXISTING PARCEL <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE <br /> A-1 EX 0.000 AC Description: 328-OTHER NON-RES <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Mother:New <br /> ❑Public ❑Private 0 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 0 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> HEIGHT(In Feet) BASEMENT lat FLOOR TOTAL SQUARE FEET <br /> 2.000 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR <br /> $ 12,000.00 <br /> PERMIT FEE <br /> 18 Sq.Ft. Sq.Ft. $ 80.00 <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/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes ❑No 02 Mar 2001 09/06/02 DJE <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 09/06/02 DJE <br /> 1.THIS ADDITION MAY NOT BE USED AS A BEDROOM.USE AS A BEDROOM REQUIRES APPROVAL FROM DANE COUNTY ENVIRONMENTAL HEALTH AND MAY ALSO <br /> Conditions: AN INCREASE IN THE SIZE OF THE SEPTIC SYSTEM.THIS BUILDING SHALL BE USED FOR STORAGE OF PER-SONAL PROPERTY INCIDENTAL TO A <br /> ConditIO <br /> RESIDENTIAL USE AND SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE OR HUMAN HABITATION.CANTILEVERED SECTIONS OF BUILDINGS <br /> MUST COMPLY WITH SETBACK AND YARD REQUIREMENTS.DECK IS NOT INCLUDED IN THIS PERMIT.REQUIRED SETBACK FROM SEPTIC SYSTEM IS 10 FEET <br /> FROM FIELD 5 FEET FROM TANK.NO SEPTIC AT THIS TIME.EXISTING DRIVEWAY.HAS TOWN PERMIT. <br /> 2. EXISTING DRIVEWAY,PERMIT ISSUED AFTER DRIVE WAS COMPLETED <br /> 545-112(12/05) GCS-single <br />
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