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Ap.Iication Number:APP-31739 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090028 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE THOMAS MUELLER (608)935-2751 GRANT SIGNS (608)838-7794 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) PO BOX 145 5119 TERMINAL DR. (City,State,Zip) (City,State,Zip) DODGEVILLE,WI 53533 MCFARLAND, WI 53558 E-MAIL ADDRESS E-MAIL ADDRESS MUELLERI @VERIZON.NET JOHN @SIGNPRODUCTIONS.COM PARCEL NO. TOWNSHIP SECTION •/4 1/a 1/4 0510-072-8006-1 RUTLAND 07 NW NE :1.11=1:I1 A)1I1:I 441111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 4633 STATE HIGHWAY 138 LOT BLOCK C.S.M.NO.Q PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 08936 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 2I New ❑Addition/Alteration CENSUS CODE C-2 3.35 Description:PYLON SIGN 329 - OTHER CATEGORY ❑Residential )4 Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public :14 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A 7171 ❑Yes ❑No SHORELAND FLOOD ZONE ma�yy WETLAND EC/SW NO. ❑Yes )4 No ❑Yes Xi No ❑Yes No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 20 81 Sq.Ft._ Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3�1r FLOOR $ 5,500.00 PERMIT FEE Sq.Ft. Sq.Ft. 100.00 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 applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located 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 zoning 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 8,Agent hereby agree to comply with all Dane County SIGNA •-E. Owner/Agent DATE: • Ordinances.Any unauthorized change from the information A -9'o f or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITI• S 1st INSPECTION DATE INITIALS ❑Yes XI No 04 Feb 2009 DJE1 7/i DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: —7/1 /09 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS_ • .5•j&i■i APP 5 ,TD ft(f(oE1 iZ -77-1414%..1 20 z (OS t `�G > 545-112(12/05) GCS-single 0-3 re-€ I Uc CF-44 r•�. 1 �� RJR-&S ;tiM)( t:0i+ is SO er, 45 41 PN oz, wta .