DCPZP-2008-00496 - Laserfiche WebLink

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• Application Number:APP-23207 DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. ZP20080496 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN HERM (608)226-9331 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2533 LALOR RD (City,State,Zip) (City,State,Zip) OREGON,WI 53575 E-MAIL ADDRESS E-MAIL ADDRESS • JWHERM @WISC.EDU • PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0610-182-9000-0 DUNN 18 NW SW J t•1 J I;i 1-/d DI 11 N 44111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2533 LALOR RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE A-1 EX 36 Description:AGRICULTURAL BUILDING WITH LOFT 328-OTHER NON-RES CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other. ❑Public LI Private - ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. Yes ❑No Yes ❑No )6 Yes ❑No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 23 1120 1600 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 30,000.00 2 480 PERMIT FEE Sq.Ft. Sq.Ft. $ 170.00 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 SIGNATURE: • er/Agert DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the pemlit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TION D TE INITIALS �Q ❑ -s XI No 18 Jul 2008 SSA1 JO zo fc DATE REVIEWED INITIALS 2nd INS CT� T� IN�� Initials: ��I_-- 3 / I Condition If HIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. MODIFICATION TO THE PROJECT •EQUIRES 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. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. 545-112(12/05) GCS-multi