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DCPZP-2009-00148
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DCPZP-2009-00148
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DCPZP-2009-00148
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Ap•Iication Number:APP-33542 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090148 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANIEL HOLVICK (608)220-7740 HOLLER&SONS BLDR. INC. (608)767-3910 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3567 SABAKA TRL 163 P.O. BOX <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA,WI 53593 BLACK EARTH, WI 53515 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-304-3089-2 MIDDLETON 30 SE Nw <br /> •J d•I J 4:i 1 i 11 rI N*1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3567 SABAKA TRL <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 9 PLAT: CHERRYWOOD- <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New XI Addition/Alteration CENSUS CODE <br /> R-1 0.5345 Description:31'X 16'X 9'OPEN DECK ADDN TO SFR 434 - RES ADD <br /> CATEGORY ;jI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:31'X 16'X 9' OPEN DECK ADDN TO SFR ❑Public 4 Private 51 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 1971 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �i EC/SW NO. <br /> CI Yes Yes pt No CI Yes Xi No CI Yes Yes No 518262 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 9 496 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 10,000.00 <br /> 2 496 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 87.00 <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 SIGNATU- : • ner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information ,, - . / / /- <br /> or plans submitted will invalidate the permit i g <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI DAT INITIALS <br /> ❑Yes /lXI No 21 Apr 2009 RLB <br /> �T DATE REVIEWED INITIALS 2nd INSPECT DA 1 TIALS <br /> Initiate \\ �\A 1:1 <br /> J" 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESE TED.�ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANA',fjAQQIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS jC J <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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