DCPZP-2008-00443 - Laserfiche WebLink

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f , Y , Z.i..X.,€ -. 0 14 3 ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE OWNER NAME 1114142.K.— 4'"VIAgY w -AVCCZ- ❑ Zoning Status;CUP; OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM 4i 1( /iEK13 I D got; 5411K C ry, e,/-7.-- C3 9 3 Variance(# ) HOME PHONE CELL PHONE E-MAIL ADDRESS 605'-6143- 8003 ❑ Site Plan drawn to scale AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions AGENT NAME CONTRACTOR NAME Ap•lication Number:APP-22766 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080443 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MARK WEAVER (608)643-8003 SCHLUTER CONSTRUCTION IN (608)546-2671 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6641 HERBRAND RD PO BOX 45 510 MAIN ST (City,State,Zip) (City,State,Zip) SAUK CITY,WI 53583 PLAIN,WI 53577 E-MAIL ADDRESS E-MAIL ADDRESS MARYWEAVER @WEAVERAUTOPARTS.COM JEFF @SCHLUTERCONST.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0907-294-9790-1 ROXBURY 29 SE SE M 2;(01 2 4 /cl DI DI:I 1/11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.)� subject 6641 HERBRAND RD LOT BLOCK C.S.M.NO.or PLAT NAME 2 CERTIFIED SURVEY MAP: CSM 01684 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Il New ❑Addition/Alteration CENSUS CODE RH-2 5.02 Description:RES ACC BUILDING 40X60 329 - OTHER CATEGORY V Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI Other: RES ACC BUILDING 40X60 ❑Public )1 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes V No ❑Yes ,+��yy,I No ❑Yes V No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 19.5 2400 2400• Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 150,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 230.00 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 8,Agent hereby agree to comply with all Dane County SIGNATU • Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit 7-2. -og