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DCPZP-2008-00314
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DCPZP-2008-00314
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DCPZP-2008-00314
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Ape libation Number: APP-21220 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080314 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DAVID HULTS (608)873-9886 MIKE HANSON (608)516-0200 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2958 TRACY LN 2714 YAHARA RD <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION '/4 '/4 1/4 <br /> 0610-253-6863-7 DUNN 25 SW SE <br /> :7:Tel J 4:i 1 M 1'i 11:1* 1/1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 3305 BROOKLYN DR <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 23 PLAT: KEGONSA HEIGHTS <br /> ZONING DISTRICT 'PARCEL ACREAGE PROPOSED PROJECT: ❑New gI Addition/Alteration ,tAk44._CENSUS CODE <br /> R-3 .75 Description:NEW ROOF PITCH AND 2ND STORY ADDITION 434 - RES ADD <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ��{{ <br /> ❑Yes No ❑Yes ,1�m No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1 FLOOR TOTAL SQUARE FEET <br /> 18 720 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR FLOOR �P 3,000.00 <br /> PERMIT FEE <br /> 2 Sq.Ft. 720 Sq.Ft. $ 181.00 <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 SIGNATURE: Owner/Agent DATE: /l <br /> Ordinances.Any unauthorized change from the information �— / .' <br /> or plans submitted will invalidate the permit // jr / <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes Xi No 28 May 2008 SSA1 /Z-I al /fig j- 7 <br /> ,/ !/ DATE REVIEWED INITIALS 2nd INSPECTION D!(T/E �/p/ INITIAL <br /> Initials: ,CJ/T I�//2-7 o' <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS�� J1 <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br />
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