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DANE COUNTY ZONING PERMIT ZONING ERMIT00035 Page 1 oft <br /> OWNER INFORMATION AGENT CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> REALTY INVESTMENTS LLC (715)254-1229 Finishing Touch Signs (715)845-0500 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2917 BUSINESS PARK DR 723 South 72nd AvenueSuite B <br /> (City,State,Zip) (City,State,Zip) <br /> STEVENS POINT,WI 54482 Wausau, WI 54401 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bill fonti @bostoninc.net tara @ftsign.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0709-343-8850-0 TOWN OF MADISON 34 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2402 W BELTLINE HWY <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CSM 01536 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE 1 <br /> C-2 Commercial Description:305"x 90"south elevation wall sign FURNITURE& 329-Other <br /> District ApplicanceMart <br /> Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway 942 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. ^E <br /> ❑ YES ® NO El YES ❑ NO ❑ YES 11 NO II-�Sl e {�, <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR FEB TOTAL SQUARE FEET <br /> 28 Sq.Ft. Sq.Ft.191 ED 2 3 2m5 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error <br /> 1 Sq.Ft. DA.F COUNTY PiANi�gi1R€��p� 0 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will Invalidate the permit. /,i_ I I./i / _ '• I <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 01/29/2015 RLB <br /> ❑l 'YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initialsyx 4Y d' <br />