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O 0 8 co ,t SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME COMMERCE BUILDING II LLC <br /> ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 150 E GILMAN ST, MADISON WI 53703 <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608) 268-8114 KBISHOP @ALEXANDERCOMPANY.COM ❑ Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> KENDRA BISHOP,THE ALEXANDER COMPANY SIGN ART STUDIO ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 345 W. WASHINGTON AVE., SUITE 301 126 S FIRST ST <br /> (City,State,Zip) (City,State,Zip) ❑ Setbacks <br /> MADISON, WI 53703 MOUNT HOREB, WI 53572 <br /> PHONE PHONE -' ❑Site Plan approval from <br /> (608) 268-8114 (608) 437-2320 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KBISHOP @ALEXANDERCOMPANY.COM DAN @SIGNARTMADISON.COM ❑ 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 /> ❑PARCEL 0709-363-2156-0 C-2 3.00 frontage drawn to scale. <br /> NUMBER _ <br /> TOWNSHIP: SECTION: <br /> MADISON 36 1/4: SW INN/4. NW ❑ Driveway permits <br /> ADDRESS: 2450 RIMROCK ROAD (state, county,town) <br /> CSM: LOT 6 SUBDIVISION BLOCK/LOT El Sanitary permits <br /> (public, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> ON-PREMISE GROUND SIGN ❑ Zoning District <br /> . ❑This project is a new building or structure. ❑ Permitted Use? <br /> 0 This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> R/IEWER r)EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 12.0 ❑ Wetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ ErosionControl permit <br /> 4, TOTAL SQUARE FOOTAGE: ,, (slopes, disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 24.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) ♦ -♦ ♦ -+ '♦ ♦ $ 16,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ❑No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Dies No Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? Dies ONo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ❑No <br /> 5. Is this project associated with a rezone/CUP/variance (petition/appeal# ) (le blank if none) <br /> 6. Is a location survey required? (see reverse) s IZIElarataitalcmow <br /> 7. Is this to correct a violation? ❑Yes ONo <br /> ✓- <br /> 1 rnn ` ,M �.� Q `"��a'� � APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> / Y , A h v ` l (Continue on Back) <br />