DCPZP-2009-00393 - Laserfiche WebLink

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It • Ap•lication Number:APP-35539 ZONING PERMIT NO. DANE COUNTY ZONING PaRMIT ZP20090393 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ENDRES LIVING TR, RUSSELL H (847)3994204 CONCORDIA WIRELESS (414)403-3103 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2040 S PARK ST 505 EAST GOLF RD SUITE D&E (City,State,Zip) (City,State,Zip) MADISON, WI 53713 ARLINGTON HEIGHTS, IL 60005 E-MAIL ADDRESS ' E-MAIL ADDRESS CAROLOPIELA @USCELLULAR.COM LBERA @CONCORDIAWIRELESS.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0709-362-4243-0 MADISON 36 NW SW •LI x9714 it C∎_\rl r] 4 III HOUSE No. ST.DIRECTION STREET NAME ST.TYPE (Assignmeo n field verifcation)rs subject 2210 S BELTLINE CT LOT BLOCK C.S.M.NO.or PLAT NAME 3 2 PLAT:,JACOBS,W. H.AND BARKER'S, E. S. SUBDIVISION ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ]New gI Addition/Alteration CENSUS CODE C-2 .6 Description:ATTACH ANTENNA TO EXISTING CELL TOWER CATEGORY ❑Residential g Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI Other:ATTACH ANTENNA TO EXISTING CELL 1OWER ❑Public ❑Private NA ROAD CLASSIFICATION REZONE NO. C. P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes ,i No ❑Yes X No ❑Yes $J No NA HEIGHT(In Feet) BASEMENT 7 t FLOOR TOTAL SQUARE FEET 79 Sq.Ft. !� Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 35,000.00 PERMIT FEE Sq.Ft. Sq.Ft. $ 270.00 I 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 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 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 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. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is appli ble,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employee in giving these assurances; • I understand the possible adverse consequences of erectin any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property to ted within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and Void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zon ng ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane Co4rnty MONATUR :_Owner/Agent •:•TE: X Ordinances.Any unauthorized change from the information / ,„ n -7 I� QU or plans submitted will invalidate the permit / .• t 0 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes X No 08 Jul 2009 HJH3 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS fnitialS V`-' 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTE APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF AN ATIONS ARE MADE WI HOOT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS _ ' 0/14 VP - E3'`IN)/1 .1-(-11 545-112(12/05) GCS-single