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DANE COUNTY ZONING PERMIT DCPZP 2015-00744 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BADGER BUS LINES INC Shulfer Architects, LLC 836-7570 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5501 FEMRITE DR 1918 Parmenter St., Ste 2 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53718 Middleton, WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sjshulfer @shulferarchitects.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0709-362-4142-2 TOWN OF MADISON 36 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 200 W BELTLINE HWY <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 2 JACOBS,W. H.AND BARKER'S, E. S. SUBDIVISION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> C-2 Commercial 6.08 Description:New sign band on front(south side)of existing building. <br /> District <br /> Category ❑ Residential ® Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> 0 , f ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES IA NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 33600 <br /> 16 Sq.Ft. Sq.Ft. <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $70,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $340.00 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may result in removal or modification of construction that violates <br /> the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County I NATURE: 044.! :nt D' E: <br /> Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit. k '= , _ _ A 23 201 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? v DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/16/2015 DJ E 1 <br /> YES ® NO DATE REVIE ED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: /I a$'PS <br />