DCPZP-2008-00284 - Laserfiche WebLink

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Application Number: WEB-20652 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACT R NAME PHONE BAY VIEW HEIGHTS INC 608-877-4130 60jan 1.,y ((On877-4!31) BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 756 CHARLES LN 119 1$(# Charts (I, (City,State,Zip) (City,State,Zip) STOUGHTON,WI 53589 �h'�or,, I,� 535g� E-MAIL ADDRESS /E-MAIL ESS RROEDERI @CHARTER.NET 0 1, 0 ,12r j, ►M" PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0610-262-9000-3 DUNN 26 NW SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject �7 ! /1._/� A. C I R to field verification.) l_�10 l�/IQ r-/L LOT BLOCK C.S.M.NO.err PLAT NAME J MA il/i4 CSM 00765 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ®New n"*titionlAlteration CENSUS CODE CATEGORY 'S 2,44 Description: log it 1 to 5e bUI y SEWER SANITARY PERMIT NO. Residential ❑Commercial CI Agricultural ❑Other: ❑Public LI Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes 61 No ❑Yes allo CI Yes allo HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 8 Sq.Ft. Sq.Ft._ _ PROJECT COST NO.OF STORIES 2nd FLOOR 3A FLOOR $ 550.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 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 SIGNATURE: Ow y/Agent DATE: Ordinances.Any unauthorized change from the information %� , 4 �1S d or plans submitted will invalidate the permit Cam• �J OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ❑No DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: Conditions: ` 545-112(12/05) WEB