DCPZP-2009-00161 - Laserfiche WebLink

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Ap.lication Number: APP-33661 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090161 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DALE SCHOLL (608)798-2898 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 8908 DOMINI RD (City,State,Zip) (City,State,Zip) MT HOREB, WI 53572 E-MAIL ADDRESS E-MAI L ADDRESS PARCEL NO. TOWNSHIP SECTION y4 1/4 1/4 0707-333-9503-0 CROSS PLAIN 33 SW SE N J:1 1 J 4:i C•_i'1'1:1 441111 HOUSE NO. ST.DIRECTION STREET NAM ST.TYPE (Assignment of new address is subject to field verification.) N. LOT BLOCK C.S.M.NO.or PLAT NAME METES A Ill D : METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New Ad Alteration CE . S CODE A-1 EX 5.05 ' Description:ONPREMISE A V I Dot- -70f-N( % - OTHER CATEGORY Li Residential A Commercial ❑Agricu I SE R SA 'Y PERMIT NO. ❑Other:ONPREMISE ADV SIGN ❑ ublic �i Private ROAD CLASSIFICATION REZONE NO. .U. .NO. (/I VARIA CE NO. , D /- TRICTION B 'Y,' I=1 Yes 0 N SHORELAND OOD ZONE WETLAND �/YY EC/SW NO. ❑Yes X No •Y- 74 o Y s No HEIGHT(In Feet) B T FLOOR TOTAL SQUARE FEET 10 A.4 64 Sq.Ft. Sq.Ft. - PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR V $ 1,000.00 NI PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 200.00 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 he property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Ag- DAT:: o plans submitted Any unauthorized to the change from the information IP l/` L 1,�� O�g OC or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE I IALS ❑Yes >I No 28 Apr 2009 SCW1 }� DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS 1/ Initials: 5 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS b M lj 2. RWL APPROVED PERMIT AS IS...FRONT SET BACK 15' &GREATER THAN 200'FROM BUSINESS 4/28/09 545-112(12/05) GCS-single