DCPZP-2009-00416 - Laserfiche WebLink

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Ap•Iication Number:APP-35745 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090416 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE EUGENE SPELLMAN (608)772-1960 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 402 S 5TH ST (City,State,Zip) (City,State,Zip) MT HOREB, WI 53572 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 14 % 0606-022-9080-6 BLUE MOUNDS 02 NW SW III a:T•l»:i 1N1.1 DI N#*l/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 3095 BERGUM 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: 21 New ❑Addition/Alteration CENSUS CODE RH-4 17 Description:AG ACC BUILDING 40X80 329 - OTHER CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑other:AG ACC BUILDING 40X80 ❑Public Private NA 6,3 yot ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 7/Co S ❑Yes 0 N SHORELAND XI FLOOD ZONE �yt WETLAND EC/SW NO. p ❑Yes No ❑Yes .1 No ❑Yes X No 20090161 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 17.3 3200 3200 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 30,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 290.00 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 compliance or until earlier revoked in writing by the o of the property. Owner&Agent hereby agree to comply with all Dane Coun �_ TURE: Owner/Agent■ • Ordinances.Any unauthorized change from the information // D TE: 7-157 or plans submitted will invalidate the permit p OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st I SPECT ON DATE INITIALS ❑Yes Xl No 15 Jul 2009 HJH3 11© P14. DATE REVIEWED ^//'�►9, INITIALS 2nd INPECTI7 DAT(Q INITAILS Initials: c - - / G b' (p ^ Y IyJill 7 �' 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PRA ECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NUL�AN0.1[OID IF .�Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONIN ..INITIA ` • 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single