DCPZP-2009-00446 - Laserfiche WebLink

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' Ap.Iication Number:APP-36118 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ,�,2 ZP20090446 J O OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION J 2 OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ,.J 0 KENNETH KYBURZ (608) 764-8210 WENDORF CONSTRUCTION & REME (608)279-1211 3� BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 3608 HOLLY RIDGE LN PO BOX 534 4Qt1 (City,State,Zip) (City,State,Zip) INVI CAMBRIDGE,WI 53523 STOUGHTON, WI 53589 .R E-MAIL ADDRESS E-MAIL ADDRESS l(I BREY0002 @YAHOO.COM `,J Z - PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 s1/4 l 0712-251-6378-1 DEERFIELD 25 NE SE r',f'� -J;(01:11:71 I1'1'l a*1-11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE 2 ( `� (Assignment of new address is subject N to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME {� 23 2 PLAT:ARMSTRONG'S PLAT OF LONDON,ARCHIBALD 'I�IUI ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 14 Addition/Alteration CENSUS CODE rt'(1/-3 -3 R-3 .13 Description:DECK DDITION 329 - OTHER ■1 CATEGORY XI Residential ❑Commercial ❑Agri culural SEWER SANITARY PERMIT NO. i ❑Other:DECK ADDITION ❑Public �I Private (1 W ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION ' R D 3570 ❑Yes ❑No J J SHORELAND FLOOD ZONE ma�yy{{ WETLAND EC/SW NO. ❑Yes ,�No ❑Yes X]I No ❑Yes JW No - U II HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 3 Y I <V) 143 143 W Sq.Ft. Sq.Ft. PROJECT COST I� NO.OF STORIES 2nd FLOOR 3rd FLOOR 2 100.00 tlj (j J PERMIT FEE JJ ,Z,, 61.00 n0 1 1. I,the undersigned,hereby make app CJ`>-0C� .-'17 p(j y scribed herein and certify to the accuracy of that �' - information.I further certify I am the ( iay sign this permit application on behalf of the J Q owner(s) of said property, and I haN L� i will construct the project in compliance with .�fl,�j those conditions. I understand that fa. CO S t u_ ✓t G �r V to Kj� .L. 4� I void and may result in an enforcement action. 2. I,the undersigned,hereby certify that ( Jj v ql • I have made a diligent inquiry into I ( , v,�.`�:: . ' • No such official map is applicable,, G or village has been obtained; -I. Q • I have not relied upon any statemei /` `Lr • I understand the possible adverse c I area without the proper approval of the city or �I u) village involved.Any zoning permit �- hich the applicant has not obtained the proper O c)-g permit from the appropriate village c 3. I, the undersigned, hereby consent tc the Dane County Department of Planning & Development to determine compliance the period commencing with issuance of this W Q zoning permit and terminating with i _ _. ....,,, L....el [evoked 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 1 s or plans submitted will invalidate the permit a ' �'2� 2 j OFFICE USE ONLY W•• SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION D TE INITIALS ❑Yes XI No 28 Jul 2009 SCW 1 5(/2-��6 J 11-6 CO DATE REVIEWED INITIALS 2nd INSPECTION QATE INITIALS Q O "1 Initials: .,...75T7.,...75T7 g 2,5-e l q leL 0 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT ^r Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V 4F Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS DD 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 CF}c_j....„ r-Gf:c:,/L-( c_r 8..4!, E;7'-1 i1 1Z.E.V. .- A A3 7---e Ko '---f-o eo AJ G I r2,n.1 08-05-21, 09 i epufOEME�-rte Foe. ugzi4/.i&E 5,.7c.E. Go�7 -,gc,TOe S /,)-S p f tit e S f a/J is S Li 4 H-n--y 4'Z- k 76 77-1-4-/.) c5 ' S 4ac-J/v 0&) P4--4-1Q - 1 1 C)L-(2 /-�-62_ /-7- /5 c rt?/7-7 c c. / "�4 7-' `771 E 06-c / S - C? Cl/ car— Do E-S A3 07"