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Ap.lication Number:APP-13719 <br /> • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20071022 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WELTON PROPERTIES LLC (651)357-1129 SpNPR(r(cPMPPNN(ING(BP(3(SKPo (800)699-0563 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> PO BOX 44580 2170 DODD ROAD <br /> (City,State,Zip) (City,State,Zip) • <br /> MADISON, WI 53744-4580 MENDOTA HEIGHTS, MN 55120 <br /> E-MAI L ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-054-0307-9 BURKE 05 SE NE <br /> I♦ :I.I J 4 it r-/d DI']:1 44-1/1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 6199 METRO DR <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 7 PLAT: EAST METRO BUSINESS PARK <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: II New ❑Addition/Alteration CENSUS CODE <br /> M-1 629190 Description:50'X 10'X 70'(990'MSL MAX)ELEVATION PYLON SIGN 328-OTHER NON-RES <br /> CATEGORY ❑Residential X Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> Li Other:50'X 10'X 70'(990' MSL MAX)ELEVATION PYLON SIGN XI Public LI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �y WETLAND EC/SW NO. <br /> ❑Yes X No ❑Yes X No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 70 500 500 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 21,675.00 <br /> 1 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 65.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that <br /> information. I further certify I am the owner of the property,or a duly authorized representative,and may sign this permit application on behalf of the <br />' owner(s) of said property, and I have read and understand all of the conditions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit i- j G <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes 18 Dec 2007 RLB <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initi <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions.' PROJECT REQUIRES T XPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY IyIFI IONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIAL <br /> 545-112(12/05 GCS-si le `-5/6/A 3 1/'�6-Ey ii m�i 6k Qs -"oaks al,--y31-e-k r\ ---lita 54-jel''el <br />