DCPZP-2009-00490 - Laserfiche WebLink

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• Application Number:APP-36447 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090490 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. TOWNSHIP SECTION 1/4 1/4 1/4 0608-113-9765-0 VERONA 11 SW SE -J:ill J4:111/.1'1'1:44 /111HOUSENO. 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: 6 New ❑Addition/Alteration CENSUS CODE RH-1 3.9 Description:34'X40'ACCESSORY BUILDING 328-OTHER NON-RES CATEGORY )6 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:34'X40'ACCESSORY BUILDING ❑Public 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. II Yes No Li Yes No ❑Yes No EC2009-0183 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 23 1360 1360 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 15,000.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 152.00 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 until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNA -E: Owner/Age DATE: 4/3/Ordinances.Any unauthorized change from the information Ali.4, or plans submitted will invalidate the permit • OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTION TE Q INITIALS CI Yes XI No 11 Aug 2009 pmk2 y—a2.I `) / N� DATE REVIEWED INITIALS 2nd IItSPECTION RATE '© INIAL) Initials: e.a Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION Ti THE P-OJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND( • D MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL id_ , 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. 545-112(12/05) GCS-multi