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• <br /> DANE COUNTY ZONING PERMIT DCPZP 2015-00587 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ORLANDO PARTNERSHIP (920)344-6566 Able Signs&Lighting (920)219-9557 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2226 SR 580 W8246 North Crystal Lake Road <br /> (City,State,Zip) (City,State,Zip) <br /> CLEARWATER, FL 33763 Beaver Dam,WI 53916 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sfranklin @ablesign.ney <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0709-343-0454-6 TOWN OF MADISON <br /> 34 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2202 W BELTLINE HWY <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 10 WHALEN PLAT <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE <br /> C-2 Commercial 0.7834 Description:16'x 7'x 36'pylon sign,25'x 3.7'x 16's elev wall 329-Other <br /> District sign,25'x 3.7'x 15'e elev sign <br /> Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Other. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> Class 4 DCPREZ-0000-00942 <br /> ❑ YES K, NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES X NO ❑ YES A NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 36/16/15 Sq.Ft. Sq.Ft. <br /> II2-1( 1, ,, ' , -2-171 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR '3rd FLOOR #Error <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $300.00 <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 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 s <br /> Ordinances.Any unauthorized change from the information or p� <br /> plans submitted will Invalidate the permit. k '`' _ O �j` <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 08/03/2015 RLB <br /> 0 YES ❑ NO DATE REVI WED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:r lt5l i - SOs <br />