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DCPZP-2008-00924
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DCPZP-2008-00924
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DCPZP-2008-00924
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Ap.lication Number:APP-29187 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080924 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SCOTT SCHULTZ (608)849-6770 PREMIER BLDRS. (608)849-6770 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4507 COUNTY HIGHWAY P 102 N HOLIDAY DR. <br /> (City,State,Zip) (City,State,Zip) <br /> CROSS PLAINS,WI 53528 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JEANETTE.ACKER @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION '/4 '/4 '/4 <br /> 0707-102-9761-1 CROSS PLAINS 10 NW SE <br /> •,:t•I J I it 114/3 114:1*-1AIII HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4424 CELESTIAL CIR <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 09132 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 14 New ❑Addition/Alteration CENSUS CODE <br /> RH-2 4.369 Description:SFR W/COV FRT POR, SCR POR W/STEPS, NO DECK 101 - SFR <br /> CATEGORY XI Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. <br /> Doter:SFR W/COV FRT POR, SCR POR W/STEPS, NO DECK ❑Public 141 Private 518216 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 7291 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE � WETLAND EC/SW NO. <br /> �t 1 <br /> ❑Yes pt No ❑Yes X�I No ❑Yes JW No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 22 • 1811 2927 4738 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 240,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. 405.00 <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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE ION DOTE INITI L <br /> ❑Yes No 08 Dec 2008 RLB o <br /> DATE REVIEWED INITIALS 2nd O ATF INIT <br /> Initials: •• t0 Ul, <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 /> 545-112(12/05) GCS-single <br />
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