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DCPZP-2009-00468
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DCPZP-2009-00468
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DCPZP-2009-00468
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I-% IIUdUOII IVUI IIUCI.Mrr-oticuc <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090468 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> PATTY KARN (608) 798-4689 SAME AS OWNER (608) 798-4689 <br /> BILLING ADDRESS (Number,Street) I P ADDRESS (Number,Street) <br /> 3103 SUSAN COURT P d . <br /> (City,State,Zip) (City,State,Zip) <br /> CROSS PLAINS, WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION <br /> 1/4 1/4 1/4 <br /> 0708-082-8440-0 MIDDLETON 08 NW NE <br /> PROPERTY ADDRESS HOUSE . ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment ie new rifcation is subject 7553 SUMMIT RIDGE RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 12728 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: lel New ❑Addition/Alteration CENSUS CODE <br /> A-1 1.5 Description:SFR W/DECK 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR W/DECK ❑Public )I Private 520308 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE y� WETLAND y�y EC/SW NO. <br /> ❑Yes )4 No ❑Yes X No ❑Yes )4 No NA <br /> HEIGHT(In Feet) BASEMENT ist FLOOR TOTAL SQUARE FEET <br /> 16.5 1977 5244 7221 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR Rd FLOOR $ 325,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 592.00 <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 official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting 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 located 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 void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INS D IyFTJAL <br /> ❑Yes ;�1 No 03 Aug 2009 HJH3 t <br /> DATE REV�� 9 INITIALS 2nd INS C DATE INITIAL <br /> Initials. 4I G7(,)l) <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESEN ED. NY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 45-112(12/05) GC',:�'� /tom ,1/ 5 G J' �/'- •• ," �/ ,''►• ; - 'Qi�L X11' r L•`1 ,4 <br />
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