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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2015-00874 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> 2700 NOVATION PARKWAY LLC (608)268-8100 Lemberg Electric (262)781-1500 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 345 W WASHINGTON AVE UNIT#301 4085 North 128th Street <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53703 Brookfield,WI 53005 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> info @alexanderRE.com rmarenda @LembergElectric.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0709-354-7001-0 TOWN OF MADISON <br /> 35 SE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2700 NOVATION PKWY <br /> subject to field verification.) <br /> LOT !BLOCK I C.S.M.NO.or PLAT NAME <br /> 13 NOVATION CAMPUS II <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE <br /> C-1 Commercial Description:8'x 4.2'x 13'pylon sign 329-Other <br /> District a?,'3lie <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 /> E-All Other 9900 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ❑ NO ❑ YES El NO . <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 13 Sq.Ft. Sq.Ft.42 <br /> ,PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error <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 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 ,, <br /> Ordinances.Any unauthorized change from the information or r `.. ∎t1 # <br /> plans submitted will invalidate the permit. Igl& - d 5 <br /> OFFICE USE ONLY (form version 63.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/27/2015 RLB <br /> 0 ES ❑ NO DATE REVIEWED INITIALS �0 2nd INSPECTION DATE INITIALS <br /> Initials:'4 `L 1117/i5— SS <br />