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DANE COUNTY ZONING PERMIT DCPZP-2015700040 Page oft OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE REALTY INVESTMENTS LLC (715)254-1229 Finishing Touch Signs (715)845-0500 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 2917 BUSINESS PARK DR 723 South 72nd StreetSuite B (City,State,Zip) (City,State,Zip) STEVENS POINT,WI 54482 E-MAIL ADDRESS E-MAIL ADDRESS bill fonti @bostoninc.net tara @ftsiogn.com PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 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 2402 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: CENSUS CODE C-2 Commercial Description:21'1"x 10'4.2"x 31'8"pylon w/(2)-11.66'x 3.5' 329-Other District appendage sign Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. Public ❑ Other: 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 ❑ NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 32 Sq.Ft. Sq.Ft.300 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error 1 Sq.Ft. Sq.Ft. PERMIT FEE $100.00 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: Owner Agent DATE: Ordinances.Any unauthorized change from the information or r plans submitted will invalidate the permit. - .' i ' ', /to/ _� ■ OFFICE USE ONLY (form version 03.00.07) SURVEY REQUIRED 1 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 01/30/2015 RLB J1 YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials )^�V�AVM+