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• <br /> Ap•Iication Number:WEB-30385 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090033 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> VETESNIK ENTERPRISES LLC (608)647-8808 RICK MAKER (608)647-2628 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 27475 US HIGHWAY 14 100 WEST ROBB ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> RICHLAND CENTER,WI 53581 RICHLAND CENTER, 53581 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> RMAKER @SIGNFACE.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-054-9670-1 BURKE 05 SE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4246 DAENTL RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 10 New ❑Addition/Alteration CENSUS CODE <br /> C-2 3.87 Description:17.5'X 7.75'X 29.25'EAST WALL SIGN 329 - OTHER <br /> CATEGORY ❑Residential g Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other. 17.5'X 7.75'X 29.25'EAST WALL SIGN ❑Public )4I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A 9394 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND yy�� EC/SW NO. <br /> yyyy{{ <br /> Yes ❑No ❑Yes !71 No ❑Yes XI No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 136 <br /> 30 136 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES tad FLOOR 3rd FLOOR �P 3,000.00 <br /> O O PERMIT FEE <br /> Sq.Ft. Sq.Ft. 100.00 <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 11111MMIIIIIa 111111111 <br /> Ordinances.Any unautironized change from the information � <br /> or plans submitted will invalidate the permit . 1 1/11 �` , a G <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes XI No 11 Feb 2009 RLB <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF AI Y ODIFICATIONS A E MA E WITH UT THE EXPREySySWWRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> • <br /> • <br /> 545-112(12/05) GCS-single <br />