DCPZP-2009-00438 - Laserfiche WebLink

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, / Ap•Iication Number:APP-36052 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090438 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/C TRACTOR NAME PHONE CHRYSTIAAJONGE (608)424-6848 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6397 COUNTY HIGHWAY A (City,State,Zip) (City,State,Zip) BELLEVILLE,WI 53508 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0508-134-8935-7 MONTROSE 13 SE NW El a:Z•1 J 1I1 _11].]N 1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 6397 COUNTY HIGHWAY A LOT BLOCK C.S.M.NO.or PLAT NAME CERTIFIED SURVEY MAP: CSM 00352 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New SCI Addition/Alteration CENSUS CODE A-1 EX .65 Description:14'X24'GARAGE ADDITION 438 - GARAGE CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: 14'X24'GARAGE ADDITION ❑Public ',4 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B ❑Yes ❑No SHORELAND b1 FLOOD ZONE 1c� WETLAND EC/SW NO. X ❑Yes No ❑Yes .r]I No ❑Yes X No 4 HEIGHT(In Feet) BASEMENT 1st FLOOR I TOTAL SQUARE FEET ` 15 336 336 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 150.00 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. 1,-the- - . -., -- •. -. _ - on the permitte• pre- - • ' -:- - - : .. r.-;; -..'.. & •- - .•.. . . ._ - •.'.- ..u• - .. ' . • . .' . . . . . . .. . . •• .- . -this -zoning-permit-anti t rminatng with issuance of a certificate of compliance of untit-edilier revORed in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information - , C27',? 9 -09 or plans submitted will invalidate the permit - OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI DATCj INITIALS 6. t❑Yes A No 23 Jul 2009 pmk2 (U' '^ l/ 0 Ft K DATE REVIEWED INITIALS 2nd INSPECTION ATE � I ■ 7 INITIALS T M Initials: II- - 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 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