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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Enterprise Rent-A-Car u.��I C- <br /> OWNERADDRESS (Number,Street City,State,Zip) IIx1 oning Status; CUP; <br /> 200 W.Bettline Hwy,Madison,WI 53713 �_-Deed Restriction; CSM /'��t'O <br /> Vari-A__- / _ ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> Aci Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION /IL:a. .6 •- dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Grant Signs(DP Industries LLC) V Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of_ tic <br /> 2810 Syene Rd. � � / <br /> (City,State,Zip) (City,State.Zip) Setbacks . <br /> Madison,WI 53713 <br /> PHONE PHONE Site Plan approval fro <br /> (608) 838-7794 applicable township. <br /> E-MAILADDRESS E-MAILADDRESS <br /> Dan©GrantSigns.net El Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) { Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ElPARCEL 032/0709-362-4142-2 C-2 6.08 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: ` ,- / /�f <br /> Madison 3 ��a: '`��hi W A: ' " ,t2 Driveway perm <br /> (state,county <br /> ADDRESS: <br /> 200 W. Bettline Hwy, Madison <br /> CSM: LOT S BDMSION ■ BLOCK/LOT ;�S-�• -ry permits <br /> jG e o L. S –Z_ 2— <br /> , private) <br /> PROPOSED PROJECT INFORMATION `3� T Vi , <br /> PROJECT DESCRIPTION: .��,`°'�,,; ; F',�1' d'a <br /> Install(1)illuminated wall sign on front elevation and re-facing(1)double-sided pylon sign cabinet e�.� `_ . <br /> Y 2 <br /> : <br /> . ❑This project is a new building or structure. I ;tti: , . •- 01.. _ <br /> 0 This project is an addition/alteration to an existing building or structure. '' r( <br /> SANITARY SERVICE: PERMIT NUMBER: :�{`J.-144. 'Jd Derr , l <br /> HEIGHT IN FEE/'EWER �a• -TIC UMBER OF STORIES: (Not Including basement) 1 gib} ¢ {' ;y- p�� is ` ` <br /> ''4014,1VrtilqW0i#00, <br /> • NEAREST SQUARE FOOT: s <br /> (Outside dimensions including unfinished area attache garages and above grade decks or porches) n>, d °C <br /> BASEMENT 1ST FLOOR: l s-_v . a' s 1 I <br /> / �? / 3 4, TOTAL SQUARE FOOTAGE , l ° -r4°,, -'1. .e,t �"� t` P J <br /> 2ND FLOOR: 3RD FLOOR: 2 T` „ /� ,k . 1,,.., <br /> ♦ ♦ ♦ ♦ 'ti ,,vied .°.'Lom y fi <br /> L <br /> CONSTRUCTION ESTIMATED COST: end . (4r ' <br /> (Please round too nearest .- -+ W 10,000.00 a +� mom <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? []Yes ✓, o ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Dies 10 ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? (]✓Yes aliNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dyes ['No <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) lYes Q✓No ['Don't know <br /> 7. Is this to correct a violation? QYes Elo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► ■ -+ <br /> 545-112(4/08) <br />