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DCPZP-2009-00562
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DCPZP-2009-00562
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DCPZP-2009-00562
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• <br /> Ap•libation Number:APP-37210 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090562 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ROBERT CORBIT (608)442-0322 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 316 MEMPHIS AVE <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53714 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ROB-CORBIT @MSN.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0710-051-3010-6 BLOOMING GROVE 05 NE Nw <br /> J:NJ 4111/11'1 D7 1 44-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 316 MEMPHIS AVE <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 13 8 PLAT: GALLAGHER, ELISHA L PLAT-1ST ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE <br /> R-3A 0.123 Description:DECK ADDITION W/STAIRS 434 - RES ADD <br /> CATEGORY X Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 14 Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D 9390 ❑Yes ❑No <br /> SHORELAND �t FLOOD ZONE �yt WETLAND EC/SW NO. <br /> /AI <br /> ❑Yes No C1 Yes X No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT i t FLOOR TOTAL SQUARE FEET <br /> 324 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1,000.00 <br /> PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 74.00 <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 8 Agent hereby agree to comply with all Dane County SIGNATURE: 0 er/Agent D/�TE: <br /> o <br /> Ordinances.submitted unauthorized to change p from the information 11. •fft� , , '/ ,/ <br /> or plans submitted will invalidate the permi �_� <br /> OFFICE USE ONL.' <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes A No 04 Sep 2009 DJE1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 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 IF ANY <br /> MODIFICATIO S A E MADE`, 4ITHOUT THEE RESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 545-112(12/051 GCS-single ° j <br />
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