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Apo libation Number:APP-31451 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090023 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DISTRICT COUNCIL OF MADISON INC SOCIETY OF ST VINCENT DE PAU (608)278-2920 MADISON SIGN LETTERING (608)241-7167 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1109 JONATHAN DR 1121 RUSKIN ST (City,State,Zip) (City,State,Zip) MADISON,WI 53713 MADISON, WI 53704 E-MAIL ADDRESS E-MAIL ADDRESS . MADISONSIGN @EARTHLINK.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0709-352-2710-0 MADISON 35 NW Nw MO J:f•l J 4:i nc11 D1 DI:I 444111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 1309 CULMEN ST to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 12040 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration CENSUS CODE C-2 1.1577 Description:WALL SIGN 20X3 329 - OTHER CATEGORY ❑Residential gl Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:WALL SIGN 20X3 21 Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. Li Yes ,rte��II ��yytt No ❑Yes X�I No ❑Yes No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 13.75 68 68 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1,200.00 PERMIT FEE 0 Sq.Ft. Sq.Ft. $ 100.00 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 • -Irtiii0 TE: Ordinances.Any unauthorized change from the information will ) p 2 or lans submitted invalidate the permit. e��• : i I> . OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes A No 26 Jan 2009 HJH3 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS It 'if 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT : QU ' THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VQ I IF • •• 'ICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. 545112(12/05) GCS-single / /O O^ Cory '