DCPZP-2008-00593 - Laserfiche WebLink

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t Application Number:APP-24281 DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO.ZP20080593 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JAMES KASUBOSKE (920)478-3131 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 295 MAPLE HEIGHTS RD (City,State,Zip) (City,State,Zip) MARSHALL,WI 53559 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0812-111-6040-5 MEDINA 11 NE SE •J;t']14:i C/3'1.1:4 4*-2111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 295 MAPLE HEIGHTS RD to field verification) LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 07257 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE R-1 2.29 Description:16'X20'SHED 328-OTHER NON-RES CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public Private ROAD CLASSIFICATION REZONE! C.U.P.NO. VARIANCE NO. DEED RESTRICTION E (/� ^!I ❑Yes L)No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT 1_g FLOOR TOTAL SQUARE FEET 13.6 320 320 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 3,637.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 74.00 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 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 SI ATURE: Owner/Agent C O DATE: Ordinances.Any unauthorized change from the information I I E)6I or plans submitted will invalidate the permit I OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI r 9ATE INITI LS og ❑Yes l No 18 Aug 2008 SSA1 ,'6 / P o L4 DATE RD INITIAL %,G 2nd IN/E ,ION D2/ / INITIS Initials: � � � �i© ©� / 7- O Conditions: 1.THIS APPROVAL BY DANE COUNTY ONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOI[1LIF<NY MODIFICATIlIONS, ARE W�HOUT/0,?-5-(4 THE yM(21��f�pPRO�OF DA c/0 CQU�TY ZONING.INITIALS �)) 4 2. ACCESSOR B ILff\\DIING-NO OMMERCIAL: THI BUILDIN - A : : USED FOR ANY BUSINESS OR COMMER1 _ • • E. b Iola- 545-112(12/0 GCS-mul NA /A-t. e;95,k 4-0