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DCPZP-2009-00221
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DCPZP-2009-00221
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DCPZP-2009-00221
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T <br /> r Ap•lication Number:APP-34127 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090221 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DONALD POMERANKE (608)849-5681 TIERNEY BUILDERS (608)635-4554 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 7155 COUNTY HIGHWAY V N1202 HOPKINS RD <br /> (City,State,Zip) (City,State,Zip) <br /> DANE,WI 53529 ARLINGTON,WI 53911 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0909-191-8500-3 VIENNA 19 NE NW <br /> :f•]2 4 a 1W.11 PI rl A 4441111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 7115 STATE HIGHWAY 113 <br /> LOT BLOCK C.S.M.NO.91 PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE <br /> A-1 EX 40 Description:GARAGE ADDITION 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Cl Other: ❑Public )4I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A Lives 0 N <br /> SHORELAND FLOOD ZONE t�yy�{ WETLAND EC/SW NO. <br /> ❑Yes X1 No ❑Yes XNo ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 802 <br /> 14.5 802 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 46,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 110.00 <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 SIGN• URE: Owner/Age DATE: <br /> Ordinances.Any unauthorized change from the information I- f� / <br /> or plans submitted will invalidate the permit 0 N// _ / j9' or <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DA E INITIALS <br /> ❑ es ;[4I No 18 May 2009 SSA1 <br /> DATE REVIEWED I75S 2nd INSPECTION DATE INITIALS <br /> r <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. 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 ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <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 /> 45112(12/05) GCS-sing <br /> q — /Y C y t,„ i w L-o c C ) <br /> c, I) /c ,—0 cori d e <br /> W04, ----1,e <br />
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