DCPZP-2009-00457 - Laserfiche WebLink

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E Application Number:APP-36201 • DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO.ZP20090457 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE NORMAN RITLAND (608)59215364 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7262 BLACK HILL RD (City,State,Zip) (City,State,Zip) LODI, WI 53555 E-MAILADDRESS 1 E-MAIL ADDRESS NRITLAND @GAMIL.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0908-163-8295-9 1 DANE 16 SW NE .'./:Lai:74 l 1'l)1;4441E/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 7262 1 BLACK HILL RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME I METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ID New In Addition/Alteration CENSUS CODE A 1 EX 2.1 Description:GARAGE&KITCHEN 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:GARAGE & KITCHEN ❑Public 17.1 Private ROAD CLASSIFICATION REZONE NO. C.LA.P.NO. VARIANCE NO. DEED RESTRICTION C I ❑Yes ❑No SHORELAND FLOOD ZONE WE1TLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT 1 I 1st FLOOR TOTAL SQUARE FEET 12 , 534 534 Sq.Ft. i Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR 30,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 90.00 1. I,the undersigned,hereby make application for a zoning per it 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,o a duly authorized representative,and may sign this permit application on behalf of the owner(s) of said property, and I have read and understan 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 rovision of the permit renders it null and void and may result in an enforcement action. 2. I,the undersigned,hereby certify that: I • I have made a diligent inquiry into the applicability of any fficial map to the applicants'land; • No such official map is applicable,or,if such map is appli ble,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employe in giving these assurances; • I understand the possible adverse consequences of erectin any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property to ted 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 per fitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zo ing ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certific to of compliance or until earlier revoked 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 or plans submitted will invalidate the permit , .......______1" J._ _ \ , 4 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITI LS ❑Yes l No 30 Jul 2009 SCW1 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVA_BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VIIfri NY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS CCVV 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-mufti /t/o -3.--d S4-,,,,,,-)- s'l