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DCPZP-2009-00571
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DCPZP-2009-00571
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DCPZP-2009-00571
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` . Ap•lication Number:APP-37243 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090571 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DEAN SANFTLEBEN (608)795-4327 SAME AS OWNER (608)279-4327 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 6467 MINT RD <br /> (City,State,Zip) (City,State,Zip) <br /> MAZOMANIE,WI 53560 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0807-164-9500-0 BERRY 16 SE SE <br /> -:x:1.114:I r'/_VIII:I 441E11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment t old new address sis subject 8751 <br /> SPRING VALLEY RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> A-1 EX 40 Descri�n:16'X10'BACK PORCH AND 19'X7'FRONT PORCH 434 - RES ADD <br /> CATEIRY <br /> 1'I Y XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 16'X10'BACK PORCH AND 19'X7' FRONT PORCH ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes 0 N <br /> SHORELAND FLOOD ZONE {{ WETLAND EC/SW NO. <br /> CI Yes A b�y <br /> No ❑Yes J�1 No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1t FLOOR TOTAL SQUARE FEET <br /> 293 <br /> 15 293 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 3,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 72.00 <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 A Q <br /> or plans submitted will invalidate the permit. � � 4.! – / 0 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes Al No 09 Sep 2009 pmk2 <br /> DATE REVIEWED INITIAL_ 2nd INSPECTION DATE INITIALS <br /> Initials: ....t 1116109 `—'U,((v fy <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 VOO A <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 /> 545-112(12/05) GCS-single <br />
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