DCPZP-2008-00274 - Laserfiche WebLink

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Apo libation Number:APP-21001 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080274 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DOUGLAS BENHAM (608)873-7065 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 861 US HIGHWAY 51 (City,State,Zip) (City,State,Zip) STOUGHTON, WI 53589 E-MAIL ADDRESS E-MAIL ADDRESS DKBJMB64 @CHARTER.NET PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0511-091-8020-8 DUNKIRK 09 NE NE • . - • • • - . ' HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignmtofielnew verification.)is subject 861 US HIGHWAY 51 LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 07107 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE RH-2 5.4133 Description:RES ACC BUILDING 53X46 329 - OTHER CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: RES ACC BUILDING 53X46 ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A Li Yes CI No SHORELAND FLOOD ZONE WETLAND �1 EC/SW NO. 1��fI �,1 pi ❑Yes pr No ❑Yes ,t:]I No ❑Yes No HEIGHT(In Feet) BASEMENT tot FLOOR TOTAL SQUARE FEET 14.25 2438 2438 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR ILA FLOOR $ 38,200.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 233.00 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 D.a County Department of Planning & Development to determine compliance with the county's zoning ordina•.'-s.This consent is valid for the •- 'od commencing with issuance of this zoning permit and terminating with issuance of a certificate of c• pliance or .ntil a tier revoke1 writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County -IGNATURE: •w r/Agent DATE: Ordinances.Any unauthorized change from the information % / ---�. 3'a/r or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY- QU 'ED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS r ❑ -s l No 20 May 2008 HJH3 1 r 2.Jk\o 1i{ DATE REVIEWED INITIALS 2nd INS CTIQ DATE INITIALS Initials: • i‘ cZji 09 1.T IS APPR• AL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Condition.: PR•JECT-E••UIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOI 0 IF AN *ski?DIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITI• $ • 2. SURV DVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDINe IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single