DCPZP-2009-00459 - Laserfiche WebLink

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• • Ap•lication Number:APP-36212 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090459 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN LEACH (608)831-1088 DAVE BUECHNER (608)575-1039 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7164 CLOVER HILL DR 7170 CLOVER HILL DR (City,State,Zip) (City,State,Zip) WAUNAKEE,WI 53597 WAUNAKEE,WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0808-164-0773-7 SPRINGFIELD 16 SE NE 2:f01:1 4:41 11W_1 DIN]A -s•HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 7164 CLOVER HILL DR to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 PLAT: HICKORY HIGHLANDS- ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gI Addition/Alteration CENSUS CODE R-1 1.0 Description:8'X 10'DECK ADD'N. ( P> c+t 434 - RES ADD CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public gl Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION 1892 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. �y{ ❑Yes X No ❑Yes .+71 No ❑Yes X No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 80 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1,500.00 PERMIT FEE Sq.Ft. Sq.Ft. $ f6.00 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 un• earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane Cou•• NATU: nt/ • •TE: Ordinances.Any unauthorized change from the information ' or plans submitted will invalidate the permit. 1, �� .L_ ,JG`f -7-30-1 I // JI OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ;Il No 31 Jul 2009 DJE1 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO HE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND • • - Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS._IM 545-112(12/05) GCS-single gm/0,R— t)nave_ .ft . (114)C rY)