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DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 DCPZP-2015-00928 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE BADGER BUS LINES INC (608)345-6419 Sign Art Studio (608)437-2320 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 5501 FEMRITE DR 126 South First Street (City,State,Zip) (City,State,Zip) MADISON,WI 53718 Mt Horeb,WI 53572 E-MAIL ADDRESS E-MAIL ADDRESS DBLASCHKA @GATESCOLLISION.COM dan @signartmadison.com PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0709-362-4142-2 TOWN OF MADISON 36 NW SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 200 W BELTLINE HWY subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 2 2 JACOBS,W. H.AND BARKER'S, E.S.SUBDIVISION ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE C-2 Commercial Description:24'x 6'x 42'pylon reface,17'11"x 57"x 16's elev 329-Other District wall,35'8"x 2'9"x 19'e wall sign Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Public ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A-US or State Highway DCPREZ-0000-01066 ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES a NO ❑ YES ❑ NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 42 Sq.Ft. Sq.Ft.444 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error 1 Sq.Ft. Sq.Ft. PERMIT FEE $300.00 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County ' - r �• • Ordinances.Any unauthorized change from the Information or �� ,/. 6) ! tans submitted will invalidate the permit. / 2(' OFFICE USE UNLY (fo'r`m version O/.00.07) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 11/17/2015 RLB ❑ YES a NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS