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• <br /> Ap•lication Number:APP-32328 <br /> . DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090048 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> C & N OF MCFARLAND LLC (417)829-5847 JIM EMDEN (608)222-5353 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> PO BOX 229 2242 MUSTANG WAY <br /> (City,State,Zip) (City,State,Zip) <br /> MCFARLAND, WI 53558 MADISON, WI 53718 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JEMDEN @BDS2.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 '/4 1/4 <br /> 0710-161-9620-3 BLOOMING GROVE 16 NE SE <br /> IN a:C•1 2 4 A l-/_1'1 M1:, 1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 1826 STOUGHTON RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CERTIFIED SURVEY MAP: CSM 06600 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New ❑Addition/Alteration CENSUS CODE <br /> C-2 .652 Description:29'X 5'WALL SIGN 329 - OTHER <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:29'X 5'WALL SIGN 14 Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A 513 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ��{{ <br /> ❑Yes )4 No ❑Yes ,a'1 No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT lg FLOOR TOTAL SQUARE FEET <br /> 16 60 60 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3r FLOOR $ 3,000.00 <br /> PERMIT FEE <br /> 1 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 8 Agent hereby agree to comply with all Dane County SIG ..E: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information . , \ <br /> ,2- x6,- <br /> or <br /> /g-' <br /> plans submitted will invalidate the permit v <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> Yes I No 26 Feb 2009 pmk2 <br /> X;, • DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJEC •UIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND.� <br /> VOID IF ' • ' !CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS / 7.! <br /> 2. SUR EY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) S-sin le <br /> ,3A 3 0(")--.ill C(-�- C/0 --r / ,._\- co,,)ok`k- <br />