DCPZP-2009-00271 - Laserfiche WebLink

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} Application Number: APP-34590 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090271 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JAMES STEINDORF (608)279-0408 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 679 FISH RD (City,State,Zip) (City,State,Zip) MARSHALL, WI 53559 E-MAIL ADDRESS E-MAIL ADDRESS JBCRETE @AOL PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0812-042-8000-3 MEDINA 04 NW NE IIII a:t•]Li 4:i'VIII'147:44 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 973 C LARKS O N RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME ) 2 l0 7 Li METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT 61 New ❑Addition/Alteration CENSUS CODE RH 1 2.0 Description:SFR NO DECKS AT GRADE ENTRY 101 - SFR CATEGORY Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. ❑other SFR ❑Public Private 520304 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 9977 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT t s FLOOR TOTAL SQUARE FEET 19 1660 2454 4846 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR FLOOR $ 250,000.00 2 732 PERMIT FEE Sq.Ft. Sq.Ft. $ 413.00 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 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 !j �. .1- h! LI / 4 I OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIAL• 1st INSPkTIQ/ ► q INITd 5 ❑Yes 4-I No 04 Jun 2009 SCW1 �/61 Y /l/�i.j) DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: WA Conditions:$ .THIS APPROV•L BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE ROJECT REDU RES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF 'A I iIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIAL r' _1 2. SURVIY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. • 545-112(12/05) GCS-multi - • t