DCPZP-2009-00086 - Laserfiche WebLink

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Ap•lication Number:APP-32986 - DANE CUUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090086 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE NANCY HYLBERT (608)271-0956 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2809 HOLLYHOCK ST (City,State,Zip) (City,State,Zip) FITCHBURG,WI 53711 E-MAIL ADDRESS E-MAIL ADDRESS N HYLBE RT @YOGAFORH EALTH.N ET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0607-262-8660-4 SPRINGDALE 26 NW NW ma asl 4 1 it i'/d'l'l:1#4 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2160 ERB RD to field verification.) LOT BLOCK C.S.M.NO.Q►PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: IN New ❑Addition/Alteration CENSUS CODE A-1 45 Description:SFR WITH SCREEN PORCH 101 - SFR CATEGORY g Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: 518248 ❑Public �Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND xi �,1 FLOOD ZONE WETLAND EC/SW NO. p ❑Yes No ❑Yes ,t]I No ❑Yes p(No 20090014 HEIGHT(In Feet) BASEMENT It FLOOR TOTAL FEET` C�3 CLJ Sq.Ft. ..4/27— /Wig Y � PR �TC Sq.Ft. PROJECT COST I� NO.OF STORIES 2n FLOW a FLOOR $ 300,000.00 ^ 1 if� PERMIT FEE■fret ,�• c>2 Sq.Ft. Sq.Ft. 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 SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIO ATE INITIALS ❑Yes ;