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DANE COUNTY ZONING PERMIT DCPZP ERMI00030 Page of OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE REALTY INVESTMENTS LLC (715)254-1229 THE SAMUELS GROUP (715)218-4002 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 5'1-'a, 142 - -a 2917 BUSINESS PARK DR 311 FINANCIAL WAYSTE^300 !J (City,State,Zip) (City,State,Zip) STEVENS POINT, WI 54481 WAUSAU, WI 54401 E-MAIL ADDRESS E-MAIL ADDRESS c kt't le_i c jeter&cJ t WI` e45 a fo = BILL.FONTI @BOSTONINC.NET TGARDNER @SAMUELSGROUP.NET ✓tefi. PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0709-343-8850-0 TOWN OF MADISON 34 SW NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 2404 W BELTLINE HWY subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 CSM 01536 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE C-2 Commercial 7.169 Description:adding to facade height 327- Stores District Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other:CHANGING FACADE HEIGHT Public ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A-US or State Highway 942 ❑ YES ® NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES la NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 40.33 1/ Sq.Ft. 168590 S �.�,� Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR { t 3rd FLOOR $2,269,362.00 0 2 ' (p ` .1 .5 Sq.Ft. PERMIT FEE Sq.Ft. , 1 3 $200.00 �-(1 :12 e 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. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: OwnedAgent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit . -'-- ., 01 . .■ r` / OFFICE USE ONLY (form version 03.00.07) fk SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 01/26/2015 SJ W 3 ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS -�— / Initials: /. / ]12_(0,11� --0A-)