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DCPZP-2009-00268
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DCPZP-2009-00268
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DCPZP-2009-00268
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Apo libation Number:APP-34563 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090268 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GREGORY MOTL (608)655-3113 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 307 PARKWAY DR <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL,WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0812-093-0579-0 MEDINA 09 SW NE <br /> J:1• J 4 a 1-/11.111 A* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 5818 LOCHINVARS TRL <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 19 PLAT: SKYLINE TERRACE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE <br /> R-1 0.864 Description:18'X 28'DETACHED GARAGE 438 - GARAGE <br /> CATEGORY )4 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes No <br /> SHORELAND FLOOD ZONE WETLAND 1�t EC/SW NO. <br /> ❑Yes ,4 No ❑Yes )4 No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT itt FLOOR TOTAL SQUARE FEET <br /> 504 <br /> 12 Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 5,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 88.00 <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 8,Agent hereby agree to comply with all Dane County NATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information / / <br /> or plans submitted will invalidate the permit $4' , 3/ G <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSTTl•NAP ATE <br /> Yes ❑No 03 Jun 2009 DJE1 CO's S/ <br /> DATE REVIEWED INITIALS 2nd IN ION DAT INITIALS � <br /> Initials: 7 m�l/ <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT- QUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF A MO. (CATIONS ARE MADE WIT,HO,UT THE EXPR US WRITTEN APIfROVAL OF ANE COUNTY ZONI G. <br /> INITIALS ► /0, L 5 ('3 4) 1 . ► ,`r r C I^ l-+ SD-- /53/ g/3//e f <br /> 2. SUR E REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ <br /> 545-112(12/05) GCS-single <br />
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