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DCPZP-2009-00445
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DCPZP-2009-00445
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DCPZP-2009-00445
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Ap•lication Number:APP-36117 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090445 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DAVID GASNER (608)835-1627 SAME AS OWNER (608)575-9774 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 953 WESLEY RD <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON,WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DGASNER @CHARTER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-153-2679-5 OREGON 15 SW Nw <br /> -Jae/J4:lta-/_1rIr1:I4 HOUSE NO. ST.DIRliCTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 953 WESLEY RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 19 PLAT:WINDRIDGE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New New gI Addition/Alteration CENSUS CODE <br /> R-1 .9 Description:SUNROOM,GIRAGE ADDITION AND KITCHEN REMODEL 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural I SEWER SANITARY PERMIT NO. <br /> ❑Other:SUNROOM, GARAGE ADDITION AND KITCHEN REMODEL ❑Public Xi Private <br /> ROAD CLASSIFICATION REZONE NO. C.0 P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 2373 L ❑Yes ❑No <br /> ` SHORELAND yy�� FLOOD Yes ,01 No WETLAND �{ EC/SW NO. <br /> (` ❑Yes Xi No ❑Yes pt No <br /> HEIGHT(In Feet) BASEMENT I tsA FLOOR TOTAL SQUARE FEET <br /> 14 1 479 479 <br /> Sq.Ft. 1 Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 70,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 86.00 <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 o icial map to the applicants'land; <br /> • No such official map is applicable,or,if such map is appli ble,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employee in giving these assurances; <br /> • I understand the possible adverse consequences of erectin 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 to ated 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 Mod. <br /> 3. I, the undersigned, hereby consent to the entry on the pe itted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zo ing ordinances.This consent is valid fo the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certific to of compliance or until earlier r-'o -d in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane Co my SIGNATURE: 0....4•. ent DATE: <br /> Ordinances.Any unauthorized change from the informa on – ' -,------/ 7227.5 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> A Yes ❑No 28 Jul 2009 pmk2 f[3 1 1/✓% 't `f <br /> DATE REVIEWED INITIALS 2nd INSPJECTION DATE INITIALS <br /> Initials:_____ (Z t I e IC'! A L" <br /> r�P 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 <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE p <br /> 545-112(12/05) GCS-single <br /> L.-% _ <br /> t i i-- coo.( ,De LOC.. SL. Zok--r. <br />
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