DCPZP-2008-00270 - Laserfiche WebLink

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Ap.Iication Number:APP-20816 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080270 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE SEAN STORCH (608)836-8332 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5512 PHEASANT BRANCH RD (City,State,Zip) (City,State,Zip) WAUNAKEE,WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. i TOWNSHIP SECTION 1/4 1/4 1/4 0808-241-9100-0 SPRINGFIELD 24 NE SW NB a•],4 a 1-/11 x]'1:1*M'I HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 5512 PHEASANT BRANCH RD LOT BLOCK C.S.M.NO.Q PLAT NAME 4 CERTIFIED SURVEY MAP: CSM 11529 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2.1 New ❑Addition/Alteration CENSUS CODE A-2 16.09 Description:NEW ROOF STRUCTURE OVER YARD 110X78 329 - OTHER CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:NEW ROOF STRUCTURE OVER YARD 110X78 ❑Public $I Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 9263 Oyes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes X No Dyes X No ❑Yes pt No HEIGHT(In Feet) BASEMENT FLOOR TOTAL SQUARE FEET 8580 8580 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR FLOOR •P PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 0.00 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: Owner/Agent DATE: Ordinances.Any unauthorized change from the information . 1 1 ` 5=-22-08� or plans submitted will invalidate the permit M • OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Y sl No 19 May 2008 HJH3 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF AN I0 IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 2. THIS PERMIT IS EXEMPT AS AN AGRICULTURAL PERMIT. ISSUED FOR RECORD PURPOSES ONLY 545-112(12/05) GCS-single