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DANE COUNTY ZONING PERMIT DCPZP-201500184 Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SUN PRAIRIE INVESTORS LLC (608) 837-9367 Able Signs& Lighting (902) 219-9556 W '- <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) C� <br /> 5735 TWIN LANE RD W8246 N Crystal Lake Road Cl 20 314--/ “; <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL, WI 53559 Beaver Dam, WI 53916 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> rick @cardinalhvac.com sfranklin @ablesign.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0810-123-9000-7 TOWN OF BURKE <br /> 12 SW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3361 BROOKS DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 04147 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> C-2 Commercial 2.5 Description:18'5 x 10 wall sign on 35 mph town road <br /> District <br /> Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other:wall sign <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 1671 ❑ YES (a NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ® NO ❑ YES 0 NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 50 <br /> 18 Sq.Ft. Sq.Ft.50 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $5,133.00 <br /> 1 Sq.Ft. Sq.Ft 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. 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 <br /> subject 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 <br /> difficult to identify. Failure to comply may result in removal or modification of construction that violates <br /> the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at 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 SI f TURE: Ow er/A!j� t ` DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. 4/12 `, <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/17/2015 SC W 1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: „CO ‘ts-t50 ��� <br />