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Apr. 17. 2015 9:59AM No. 0210 P. 1 <br /> DANE COUNTY ZONING PERMIT DCPZPF2016-00185 1 a12 <br /> OWNER INFORMATION AGENTFCONTRACTOR INt'CRMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DA BON CLUB YET LLC (608)712-1693 Alphagraphlcs (608)836-9999 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number.Slreel) <br /> 12628 LEEDLE MILL RD 3223 Parmenter St.. <br /> (ciy,Slate,Zip) <br /> STOUGHTON,WI 53582 MiddiMe.ZIP) <br /> Middleton,WI 53562 <br /> E•MAK ADDRESS E-MAIL ADDRESS <br /> bdowns @atphagrephics.con <br /> PARCEL NO, TOWNSHIP SECTION I 114 i 1/41/d --0708-253-8825-2 TOWN OF MIDDLETON 25 1 SW NW <br /> PAOPERTYAt70RESS HOUSE NO. ST,OIRECT(ON $TREETNAME 111 y <br /> (AMlgnment of now address la 6805 SEYBOLD IS T.TYPE <br /> cub)eol to field verification.) I RD <br /> LOT <br /> eLOCN C.9 M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT 1p NCO.ACREAGE PROPOSED PROJECT. New Stryc)ura/Ad01Hoq <br /> C-2 Commercial .46 oa. CENSUS CODE <br /> �� <br /> DislriGt <br /> Category ❑ ReSIOef1OI ❑ commercial (:) Agncuuursl SEWER SANITARY PERMIT NO <br /> 0 otne< Private <br /> ROAD CLASSIFICATION REZONE NO, C.V.P NO. VARIANCE NO. / <br /> C-Town Road 1 038 DEED RESTRICTION <br /> ❑ YES 0 NO <br /> OHORELAND FLOOD ZONE WETLAND ECISW NO. <br /> 0 YE9 ® NO ❑ YES ® NO 0 YES ® NO <br /> HEIGHT pn Feel) BASEMENT 1ei FLOOR TOTAL SQUARE FEET <br /> 50 <br /> 13 3q.Fr. Sq Fl.50 <br /> PROJECT COST <br /> NO.OF STORIES <br /> 2nd FLOOR 3rd FLOOR $708.00 <br /> 1 Sq.Ft. S4 Fl. PERMIT FEE <br /> $100.00 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. 1 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 1 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 Dare County SlGNATUR • 0 er/Agent DATE: <br /> Ordinances,Any unauthorized change from the Informetlon or "? <br /> plans submitted will Invalidate IN.permr)- I, <br /> OFFICE USE ONLY (fora vors.c )07.00,07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS tal INSPECTION DATE NITIALS <br /> f 04117/2016 SCW1 <br /> C) DATE REVIEWED® NO <br /> Y�r ,/� IEWED INITIALS 250 INSPECTION DATE INITIALS <br /> Iniliels: <br /> Z 'd i7LEL 9E8 B09 isozyde-10 'ee j e8E = TT ST T2 -101H <br />