DCPZP-2008-00733 - Laserfiche WebLink

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„ I 1-2-qo tea` M 1 '6 i - . . Ap.hcatlon N � . �_� 855 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080733 U OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE BONITA REIBLE (608)643-3615 ROBERT GUST (608)574-9528 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 8990 MACK RD., 10829 COLUMBUS DR., (City,State,Zip) (City,State,Zip) ' 46'96 SAUK CITY,WI 53583 FERRYVILLE, WI 54628 E-MAIL ADDRESS E-MAIL ADDRESS GUST160 @MSN.COM PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0907-273-9110-8 ROXBURY 27 SW SW '4 . PROPERTY ADDRESS HOUSE NO. (c"--ttr•cTION STREET NAME ST.TYPE (Assignment of new address is subject �� •��_�(�J to field verification.) X7-24 - COUNTY HIGHWAY K (r) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS k): ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New kI Addition/Alteration CENSUS CODE C-1 1.13 Descnption:2 ANTENA& 12 X 20 BLDG 329 - OTHER CATEGORY ❑Residential g Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:2 ANTENA& 12 X 20 BLDG ❑Public g Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION B 1681 ❑Yes ❑No SHORELAND FLOOD ZONE �y WETLAND • EC/SW NO. ❑Yes X No ❑Yes X�I No ❑Yes )4 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET ROitty--- 240 150' Sq Ft / 240 PROJECT COST <5 NO.OF STORIES 2nd FLOOR nG� $ 50 000.00 ^ 1 1 II(% C[7 PERMIT FEE :) sq.Ft._ �4/�� $ 300.00 1. I,the undersigned,hereby make application G1 �t h , i the work described herein and certify to the accuracy of that information. I further certify I am the owner ��/V l antative,and may sign this permit application on behalf of the owner(s) of said property, and I have rea GC_`G4, /D/, Ji11,��1�I("�`p this permit and will construct the project in compliance with those conditions. I understand that failure t uW �l nders it null and void and may result in an enforcement action. i 2. I,the undersigned,hereby certify that: 4,' � • I have made a diligent inquiry into the applicability of any official .. . tnts'land; • • No such official map is applicable,or,if such map is applicable,the approval of n e 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 valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY - SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS - AI Yes ❑No 26 Sep 2008 SCW1 - DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions.' PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR, AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ 545-172 12/05) G. Ingle v� �e v CG/1 �f MIS ' 1.. 9:). V ��