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. • Application Number:APP-13731 <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZONING PERMIT NO. <br /> ZP20071024 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHQNE— <br /> WELTON PROPERTIES LLC (952)294-0353 KTJ LIMITED PARNERSHIP08)754-6338 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) r.(4t-) Cc3r3T1LA GTtska_ <br /> PO BOX 44580 5125 COUNTY ROAD 101 fr. <br /> w(y EZ , <br /> (City,State,Zip) (City,State,Zip) ,0 Sly a 5 <br /> MADISON, WI 53744-4580 MINNETONKA, MN 55345 i ZZi u T-z4e . Pa <br /> E-MAILADDRESS E-MAIL ADDRESS >i I <br /> RANDY @OPPIDAR.COM JMYERS @JNBSIGNS.COM ! JAI.,._ ESL,t(-c.,_ vJ i5;546 <br /> PARCEL NO. TOWNSHIP SECTION Y4 1/4 1/4 <br /> 0810-054-0664-7 BURKE 05 SE NE <br /> :Lt.]J 4:i I :1'l I1:1 4411111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 6195 METRO DR <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> 14 PLAT: EAST METRO BUSINESS PARK <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 61 New ❑ dition/Alteration CENSUS CODE <br /> M-1 5+- <br /> Description INTERSTATiYLON SIGN FOR CAMPING WORLD 329 - OTHER <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> other:SIGN N Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> Dyes No ❑Yes No ❑Yes No , <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 500 <br /> 120 A 0,o uE <br /> `1�A p e. Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3A FLOOR $ 60,000.00 <br /> 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 SIG • . - DATE: <br /> Ordinances.Any unauthorized change from the information / 1�� d7 <br /> or plans submitted will invalidate the permit <br /> �� 1 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st I SPECTION DATE INITIALS <br /> Yes ❑No 18 Dec 2007 KLS <br /> DATE REVIEWED INITIALS 2nd INS ECTIO DATE INITIA <br /> -,-7 Initials: <br /> 23 09 S <br /> Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRES NTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> _�yl 2. REGISTERED LAND SURVEYOR'S VERIFICATION OF ELEVATIONS AT BASE OF <br /> SIGN, OF SIGN AND CENTERLINE 1-90 RIGHT-OF-WAY (ROW) REQUIRED. <br /> - or <br /> 545-112(12/p5) GCS-multi _• <br /> -//5/DS' —✓'Vo . f, ,.n,± silt IV CA —'/OCYI C.o' 9 / S VYI.+.e <br /> Q//y- s W/ il-e edS S✓vt/ <br />