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DCPZP-2008-00812
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DCPZP-2008-00812
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DCPZP-2008-00812
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• <br /> Ap•Iication Number:APP-27665 <br /> 1 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080812 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWN PHONE AGENT/CONTRACTOR NAME PHONE <br /> RY ROOSLI (608)424-3780 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 427 MITCHELL ST <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE,WI 53508 <br /> -MAIL ADDRESS E-MAIL ADDRESS 9 <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-054-9500-5 OREGON 05 SE SE <br /> MI/Ail a 4 a li-/c1•l.1:1 44111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 5866 COUNTY HIGHWAY D <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gI Addition/Alteration CENSUS CODE <br /> A-1EX 40.2 Description:ATTACHED GARAGE (24X28) 438 - GARAGE <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:ATTACHED GARAGE (24X28) ❑Public ifj Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B ❑Yes ❑No <br /> SHORELAND FLOOD ZONE ��{{ WETLAND EC/SW NO. <br /> CI Yes XI No ❑Yes ,171 No ❑Yes ,XlNo <br /> '.EIGHT(In Feet) BASEMENT jf FLOOR TOTAL SQUARE FEET <br /> 11 672 672 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3►d FLOOR 21,200.00 <br /> /7 PERMIT FEE <br /> 0 1 Sq.Ft. Sq.Ft. $ 100.00 <br /> 1. I,the und- igned,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. urther 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 s-'. 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. 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,h-eby certify that: <br /> • I have made a dilige inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is ..slicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any atements of County employees in giving these assurances; <br /> • I understand the possible adv- e consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning pe ' 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 . 'ty shall be null and void. <br /> 3. I, the undersigned, hereby consent to the ..try on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with th- ounty's zoning ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance o : certificate of compliance . - - •-r revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County S = A URE: Own- •gent DATE: <br /> Ordinances.Any unauthorized change from the information • <br /> or plans submitted will invalidate the permit Cc"/ , , /O--a 2-oo <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED 1st INSPECTIO. DAT INITIALS <br /> Yes A No 22 Oct 2008 ti1fy�i, ar' <br /> ,7 DATE REVIEWED INITIALS • NSPECTIQN DATE INITIALS <br /> Irrd 5 / . (Z I t-`t'O`L <br /> 1.THIS APP-• AL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions. PROJEC - QU -ES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF MOD (CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> 2. SU'VEY • s ISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILD(" S CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />
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