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DCPZP-2008-00811
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DCPZP-2008-00811
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DCPZP-2008-00811
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Ap•lication Number:APP-27524 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080811 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> HANSEN KEGONSA PROPERTIES LLC (608)877-0146 PATRICIA MICETIC,ARCHITECT 6088770788 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3935 COUNTY TRUNK A 219 E. TAFT ST. <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 STOUGHTON,WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-262-0275-0 DUNN 26 NW NE <br /> •J;('l:J 4:i AW:.1'l Dl:l$$ HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2092 BARBER DR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 15 PLAT: LINCOLN PARK <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gl Addition/Alteration CENSUS CODE <br /> R-3 0.198 Description:GARAGE ADDITION, BEDROOMS, BATHROOM 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 2 Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D 523 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> X)Yes ❑No ;ICI Yes ❑No ❑Yes )4 No SE2008-0252 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 843 1507 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 100,000.00 <br /> 664 PERMIT FEE <br /> 2 Sq.Ft. Sq.Ft. $ 163.00 <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, SIGNAT -E: Owner/A ent 1 D•TE: <br /> Ordinances.Any unauthorized change from the information � <br /> or plans submitted will invalidate the permit I' • ...,-t-° C. tdr. A lo'Z r ® <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> .A Yes ❑No 21 Oct 2008 DJE1 <br /> �1 DATE REVIEWED INITIALS 2nd IN PECTIO DATE INITIAL <br /> Initial CJ ( �� Z� <br /> . <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS P ESEN ED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT EQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS '1_.1,ro�- <br /> 2. SUR 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/ o <br /> 545-112(12/05) GCS-single <br />
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