DCPZP-2009-00392 - Laserfiche WebLink

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Ap.Iication Number:APP-35538 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090392 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION • OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ELLEN ELSING (608)289-0128 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 133 CHEROKEE DR (City,State,Zip) (City,State,Zip) EDGERTON,WI 53534 E-MAIL ADDRESS E-MAIL ADDRESS ELLEN-ELSING @CHARTER.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0512-254-5988-6 ALBION 25 SE SW 2:(.1 J4 -/_1»:4 -11/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 133 CHEROKEE DR to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 8 3 PLAT: HICKORY HILLS ESTATE ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gi Addition/Alteration CENSUS CODE R-3 .143 Description:3 SEASON RM 20X20 434 - RES ADD CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:3 SEASON RM 20X20 ❑Public gl Private NA ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION D ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. Yes ❑No ❑Yes )4 No ❑Yes )4 No NA HEIGHT(In Feet) BASEMENT jf FLOOR TOTAL SQUARE FEET 800 10.5 400 400 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 35,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 110.00 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 ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of c ' ce or until earlier revoked in writing by the o he property. Owner&Agent hereby agree to comply with all Dane unty SIGNATURE: 0 ner/Agent 1pATE Ordinances.Any unauthorized change from the info n •Morr—•--__ or plans submitted will invalidate the permit 1 _ ,r ©� • OFFICE USE ONLY • SURVEY REQUIRED? DATE ISSUED INITIALS 1stINSP CTIO DAB INITIAL Yes CI No 08 Jul 2009 HJH3 6 3D X DATE REVIEWED INITIf�L$t� 2nd INS ECTIO DATE INITIALS Initia ! ' 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: P-• CT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID I' • , :DIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS . - !STING SURVEY WILL SATISFY LOCATIONAL SURVEY REQUIREMENT. HJH 545-112(12/05) GCS-single