DCPZP-2009-00489 - Laserfiche WebLink

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Ap.lication Number:APP-36444 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090489 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE GREGORY THOMPSON (608)444-1515 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6810 CROSS COUNTRY ROAD (City,State,Zip) (City,State,Zip) VERONA,WI 53593 _ E-MAIL ADDRESS E-MAIL ADDRESS SSUSA @TDS.NET PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0608-113-9765-0 VERONA 11 SW SE •2 Ct•1:14:i CIA'l'1:l 1-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 6810 CROSS COUNTRY RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 2 CERTIFIED SURVEY MAP: CSM 12680 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New id Addition/Alteration CENSUS CODE RH-1 3.9 Description:59'X45 HOUSE ADDITION 434 - RES ADD CATEGORY X Residential Li Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:59'X45'HOUSE ADDITION ❑Public 4 Private 518017 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 9828 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes X No ❑Yes ,�yt�No ❑Yes No EC2009-0183 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 5706 27 2799 Sq.Ft. 2234 Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 140,000.00 673 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 478.00 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 stucture 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 until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNAT R : Owner/Agen / DATE: Ordinances.Any unauthorized change from the information I / OWN A r or plans submitted will invalidate the permit • i� /3 d OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1 stkISPECT ION DAjf/1, If)ftTIA f< ❑Y s XI No 11 Aug 2009 pmk2 YY ,,Z. �/!77 II�y DATE REVIEWED INITIALS 2ry(INSP��N DATE INIj{ALS• Initials: 9 `/ lr IA/` 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V F,A1N. MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 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