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DCPZP-2009-00575
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DCPZP-2009-00575
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DCPZP-2009-00575
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F11.1 IIUi1LIUI I IN W I IUCI.Mrr-J r L/ <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090575 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREGORY MAIN (608) 838-9510 SHAW BUILDING & DESIGN INC. (608)877-1131 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2820 LAKEWOOD CIR 3185 DEER POINT DR., <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 STOUGHTON„ WI 53589 <br /> E-MAILADDRESS E-MAILADDRESS <br /> MATT @SHAWBUILDERS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0611-072-9910-0 PLEASANT SPRINGS 07 NW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2812 LAKEWOOD CIR <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 141 Addition/Alteration CENSUS CODE <br /> A-1 EX 1.8 Description:DETACHED GARAGE 438 - GARAGE <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Doter: DETACHED GARAGE ADDN ❑Public $I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND 1�i EC/SW NO. <br /> ,�o�Yes ❑No ❑Yes X No I.]Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 12 540 540 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3T1 FLOOR $ 26,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 90.00 <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 SIGNATUR • •wner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information �P ? <br /> or plans submitted will invalidate the permit 4� <br /> • oi <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPEC ON D E INITIALS <br /> • Yes ;�1 No 10 Sep 2009 SCW1 /0 9 O <br /> DATE REVIEWED INITIALS 2nd INSP CTIO DATE <br /> PA <br /> Initials: :% 1711 6 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRES . ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIMIT SHALL BE NULL AND V• I A Y <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL=sir _y <br /> •N <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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