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DCPZP-2008-00531
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DCPZP-2008-00531
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DCPZP-2008-00531
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Ape libation Number: APP-23596 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080531 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOHNSON REV LIVING TR,GEORGE L&BERNADINE S (608)437-3525 JOE HACKL (608)588-3308 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3066 N STATE HIGHWAY 78 E3757A US HWY 1460 <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 SPRING GREEN, WI 53588 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0606-014-8170-9 BLUE MOUNDS 01 SE NE <br /> �:1•1 J I:1 CRA 1111:1 44 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment ofield verification.)ess is subject 3066 STATE HIGHWAY 78 <br /> to LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: X1 New ❑Addition/Alteration CENSUS CODE <br /> A-1 EX 1.1 Description:720 SQ FT ACCESSORY BLDG 328-OTHER NON-RES <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. • <br /> ❑Other:720 SQ FT ACCESSORY BLDG ❑Public )I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> �I may{ <br /> ❑Yes ,lql No ❑Yes ,C]I No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 720 <br /> 9 720 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $ 8,921.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. 104.00 <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 v 4 7 3 <br /> or plans submitted will invalidate the permit p( <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE,. INITIALS <br /> ❑Yes xi No 31 Jul 2008 SCW1 r ) iv■11 l <br /> DATE REVIEWED INITIALS 2nd�Ip]SPEC N DATE INITIALS <br /> Initials: 31 , O� �j E <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 MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURV Y ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />
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