DCPZP-2009-00222 - Laserfiche WebLink

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_ Ape libation Number:APP-34137 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090222 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE KAY DILLMAN (608)835y3708 SAME AS OWNER (608)712-4175 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 195 S BURR OAK AVE (City,State,Zip) (City,State,Zip) OREGON,WI 53575 E-MAIL ADDRESS ', E-MAIL ADDRESS BRADLEY.DILLMAN@CHARTER.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0509-202-8890-6 OREGON 20 NW NW • K•]J 4 A C/d II DI:1 4411111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 6029 COUNTY HIGHWAY A LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 05156 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Sid New ❑Addition/Alteration i'ee 4.4.4i_ CENSUS CODE A-1 EX 5.0 Description:28'X28'GRAINL.S14ED . F»ne�C s�= � 329 - OTHER CATEGORY Aesidential ❑Commercial 4/Agricultural'7 SEWER SANITARY PERMIT NO. CI Other:28'X28'GRAIN SHED ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.Ij NO. VARIANCE NO. DEED RESTRICTION B ❑Yes 0 N SHORELAND FLOOD ZONE WETLAND EC/SW NO. ,ral Yes ❑No ❑Yes X No ❑Yes >4 No HEIGHT(In Feet) BASEMENT lst FLOOR TOTAL SQUARE FEET 15 784 784 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 311 FLOOR $ 11,748.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 109.00 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 employee 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 loqated 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: • • 'gent DATE: . Ordinances.Any unauthorized change from the informat)on 5,/, or plans submitted will invalidate the permit . . OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑ s I N 18 May 2009 pmk2 S'31, �`1 -IE � DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: /C/ S 11�, (C4/ -' _ It/l t3'01 l» 1.THIS •'•RO • BY JANE COUNTY ZONIN3 IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions.' PROJE r RE s -ES HE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID I' • Y ,r•DIF ATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIAL /4, 2. SURVEY 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-single l P t� 14 1 B (�rfti 11E(ee-'i qc. '± 6 '-rte _ t` (it 'J