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Apslication Number:APP-28947 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080907 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MADISON HIGH CROSSING LODGING INVEST II LLC (608)833-4100 KRAEMER BROTHERS, INC. (608)546-2411 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> PO BOX 620994 925 PARK AVE <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON,WI 53562-0994 PLAIN,WI 53577 <br />•` E-MAIL ADDRESS E-MAIL ADDRESS <br /> EMERICH @RAYMONDTEAM.COM PBARTLESON @KRAEMERBROTHERS.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-271-0206-1 MADISON 27 NE NE <br /> MJ;till;]4;i Call DI'].4 I HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 2702 CROSSROADS DR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> OTHER: Plat Unknown-CITY OF MADISON <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New XI Addition/Alteration CENSUS CODE <br /> C-2 2.0 Description:TEMPORARY CONSTRUCTION CRANE 329 - OTHER <br /> CATEGORY ❑Residential )4 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 3549 Dyes ❑No <br /> SHORELAND �I FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes XI No LI Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 43 0 0 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 0.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 200.00 <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: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit <br /> • <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes XI No 26 Nov 2008 SSA1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <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 Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIAL <br /> 2. MUST COMPLY WITH ALL COONDITIONS PER THE BOARD OF ADJUSTMENT VARIANCE#3549 <br /> -SEE ATTACHED CONDITIONS <br /> 545-112(12105) GCS-single <br />