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DCPZP-2008-00570
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DCPZP-2008-00570
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DCPZP-2008-00570
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Ap•Iication Number:APP-23799 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> • ZP20080570 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> COTTAGE GROVE, VILLAGE OF (608)839-4704 ERIC DUNDEE MSA PROFESSIONA'n (608)242-7779 <br /> BILLINGADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 221 E COTTAGE GROVE RD 2901 INTERNATIONAL LANE SUITE 300 <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53727 MADISON,WI 53704 <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> DWINTER @VILLAGE.COTTAGE-GROVE.COM EDUNDEE @MSA-PS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-171-8190-2 COTTAGE GROVE 17 NE NE <br /> :f•l»ai7c\4•]1 4.i I 44-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4195 VI LAS RD <br /> LOT BLOCK C.S.M.NO.er PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 10 New ❑Addition/Alteration CENSUS CODE <br /> RH-1 2.7 Description:SEWER LIFT STATION 325-PUBLIC WORKS <br /> CATEGORY ❑Residential A Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other.SEWER LIFT STATION XI Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C . 3877 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> X Yes ❑No ,ol Yes ❑No ❑Yes Xi No 20080100 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4454 <br /> 30 4454 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR ard FLOOR 1,700,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 0.00 <br /> 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 <br /> 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 <br /> 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 <br /> 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. <br /> 2. I,the undersigned, hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit 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 or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit L `,,�w : . 08 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSSPPE TION DATE INITIALS <br /> A Yes CI No 08 Aug 2008 RLB p / 91O? <br /> f L� DATE REVIEWED INITIALS 2nd INSP TION qA� INITIALS <br /> Initial /` G ^7/// /2Gi.. <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY ODIFICA IONS ARSE D W T OyT THE EXPRESS ITTEN APPR AL OF ANE COUNTY ZONING. <br /> INITIAL EA- (O, 21 35?-- • <br /> 6 i„ I1 . C $V . . .. Z 2° 1- 12—©' <br /> 2. SUR EY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR, AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ o <br /> 545-112(12/05) GCS-single <br />
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