DCPZP-2008-00747 - Laserfiche WebLink

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• Ap.lication Number:APP-26020 DANE COUNTY ZONING PERMIT ZONING PERMIT "°• ZP20080747 OWNER INFORMATION 1 AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN DOHM (608)291-0811 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6247 PURCELL RD (City,State,Zip) (City,State,Zip) OREGON,WI 53575 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0509-062-8051-0 OREGON 06 NW NE Ell,:l•]J 4:t!t1-/d 11 1l N 441 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 6247 PURCELL RD LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration CENSUS CODE A-3 28 Description:10 X 16 RES. STORAGE SHED 329 - OTHER CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: 10 X 16 RES. STORAGE SHED ❑Public I Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO ❑Yes ,4 No CI Yes Yes ,Y]I No ❑Yes ,4 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 8.5 160 160 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 2,500.00 PERMIT FEE I Sq.Ft. Sq.Ft. 62.00 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 employees 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 located 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 vali for th eriod comm ncing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or unti/earlier ok in writing by he owner of the property. Owner&Agent hereby agree to comply with all Dane County SIG NATUR• 0 er/A DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit f f-f 0 8 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS Li Yes No 30 Sep 2008 HJH3 I CIZZIO6 46F DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS nisi Is: (0 f Z2 I n9 ..L 1.THIS APPROV• BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS Conditions: PROJECT RES -ES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. MODIFICATION i THIS PERMIT HALLL BE NULL AND V9IQ IF ANY/ DIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS _ 2. SUR+EY 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