DCPZP-2008-00594 - Laserfiche WebLink

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Ap•lication Number:APP-24309 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080594 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DEER CREEK SPORTSMANS CLUB (608)832-6377 RAY GILDEN (608)832-6261 BILLING ADDRESS (Number,Street) �y kt, ADDRESS (Number,Street) 1067 COUNTY HIGHWAY JG S d'a ► ?, +i le f 556 BOWERS ROAD t ( —.1 (City,State,Zip) (City,State,Zip) (<) 1 to j� MT HOREB, WI 53572 BELLEVILLE,WI 53508 T E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0507-101-8050-8 PRIMROSE 10 NE NE NJ ztel1 1 Ci CRAP/01:14*ln HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 8475 MILLER RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 05671 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New XI Addition/Alteration CENSUS CODE RE-1 Descnption:40'X 30'X 26'COV POR ADDN TO CLUBHOUSE 328-OTHER NON-RES CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. yA Other:40'X 30'X 26'COV POR ADDN TO CLUBHOUSE ❑Public XI Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 4280 677 LI Yes ❑No SHORELAND FLOOD ZONE WETLAND �y EC/SW NO. X A Yes ❑No ❑Yes X No ❑Yes No HEIGHT(In Feet) BASEMENT jet FLOOR TOTAL SQUARE FEET 1 26 l 1200 Sq.Ft. � � Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 24,375.00 PERMIT FEE /� 1 Sq.Ft. Sq.Ft. $ c3 0 . -tont,. 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 SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information / or plans submitted will invalidate the permit �l,I ` 0 J .; k. OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INyECTI1 DATE , INRALS s 1 No 19 Aug 2008 RLB i •-• P pt(61 Initialy DATE, VIE D ©V INITIPLS� Q � 2nd IN ECTI DATE ( O INITIALS A( � 1. IS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT RE* IRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF AN AA DIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIAL' ., _ 2.A- 'r CA Tai LAND CCONSERVATION DIVISION FOR 12% SLOPE REVIEW AND EROSION CONTROL PERMIT IF NECESSARY. 545-112(12/05) GCS-single