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DCPZP-2008-00255
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DCPZP-2008-00255
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Zoning Permits
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DCPZP-2008-00255
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• Ap.lication Number:APP-20650 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080255 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CURT BURMEISTER (608)873-8983 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 486 HYLAND DR <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAI L ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-361-0601-4 DUNN 36 NE NE <br /> J:t•1 a 4 A&/A r7'7 l 4 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment o f aica <br /> new address is subject <br /> to 1 BROOKLYN DR <br /> LOT BLOCK C.S.M.NO.gs PLAT NAME <br /> 1 1 PLAT: COUNTRY CLUB PARK <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 2I Addition/Alteration CENSUS CODE <br /> R-3 .355 Description:12'X16'DECK 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: 12'X16' DECK X)Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E 1602 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes X No ❑Yes X No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3 240 240 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR FLOOR $ 2,500.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. <br /> $ 68.00 <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 SIG NAT - 0 n /A nt DATE: <br /> Ordinances.Any unauthorized change from the information 1 <br /> or plans submitted will invalidate the permit '; 5-/S- el <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS - rat INSPECTION DATE INITIALS <br /> • e % No 15 May 2008 pmk2 Z ( Joy J'/5 <br /> DATE REVIEWED INITIALS 2nd INSP ON TE INITIALS <br /> g 1e <br /> !nib.Is:� I '� ('J <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> CO t I ens: PROJECT - Q 'E EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF A k,, �ATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS WI. ' ' <br /> 2. SURVEY '`! ISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS ONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />
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