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DCPZP-2009-00535
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DCPZP-2009-00535
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DCPZP-2009-00535
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rmN IIGdLlUI I Mil I IUGI./irr-Juof J <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090535 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DAVID ROBERTS (608)825-3884 TCD BUILDERS INC. (608) 837-1932 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 223 N MUSKET RIDGE DR., 2851 COUNTRY DR., <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> RANDYMARTEN @WILDBLUE.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-304-4069-0 BRISTOL 30 SE SW <br /> 1111J:fel:I 1:1 .1'].1 I HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2972 EGRE RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 59 PLAT: BROOKS ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE <br /> A-1 5.02 Description:SFR W/DECK&PORCH 101 - SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SFR W/DECK& PORCH ❑Public gl Private 520376 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> � ❑ 1�S <br /> , Yes ❑No Yes No ❑Yes No 20090160 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 18 2921 4177 7460 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 450,000.00 <br /> 2 263 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 610.00 <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 , ' ' ■ —2S 19 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes X.1 No 25 Aug 2009 SCW1 VZ-/�G la 41-4j <br /> ((���� (AA"-- DATE REVIEWED INITIALS 2nd INSPECTION DATE i 0 INLL4 ALS Initials: / <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V D IF ANY <br /> MODIFICATI S E MADE WITHOUT T_HE VPRESS WRITTEN P L F A E COUNTY ZONING.INITIALS <br /> 6 e-c 7/1-1/O /0. 2573�Ho 11 <br /> 2. SUR EY 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 /> 545-112(12/05) GCS-single <br />
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