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DANE COUNTY ZONING PERMIT DCPZP 20 4-00878 Page 1of2 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE KIPPLEY RENTAL PROPERTIES LLC (608)842-3040 LaCrosse Sign Company (60D),2 Ai.2-rap BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) • I 7646 CONIFER CT 2222 Mustang Way li� 3"� � (City,State,Zip) (City,State,Zip) t DEFOREST, WI 53532 Madison, WI 53718 QiC 1 2014 E-MAIL ADDRESS E-MAIL ADDRESS bill @ptatrucks.com teresak @lacrossesign.com _ ELOWEIj PARCEL NO. TOWNSHIP SECTION P 1/4 1/4 0910-092-8510-0 TOWN OF WINDSOR 9 C^"t^C Nw N W PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 7652 CONIFER CT subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 1 CSM 11363 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE C-2 Commercial Description:20'x 10'x 27'pylon sign 329- Other District Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANI IAl2Y I'EiD/V NO. ❑ Other: Public ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B-County Highway 1866 ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 27 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error PERMII-FEE Sq.Ft. Sq.Ft. O UD I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. 1 I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zonin ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Ag• -L. Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit. -- _, -GG:�E - �� At OFFICE USE ONLY (form version 03.00.07) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 11/17/2014 RLB ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS / itials: !$j�aq I(„ ,.. s