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DCPZP-2009-00113
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DCPZP-2009-00113
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DCPZP-2009-00113
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, 04/0,9/2009 13:56 608-267-1540 DANE CO PLANNING 1-AGE t1.3/U. <br /> Ap.lication Number.APP-33327 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ' <br /> ZP20090113 <br /> OWNER INFORMATION ( AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MOW INVESTMENTS LLC (608)342-3428 DOLAN.REALTY ADVISORS LLC (314)726-2610 <br /> BILLING ADDRESS(Number,Street) *ADDRESS (Number.Street) <br /> 112�6 MILLS ST., 7718 FORSYTu of VD r Z(}C <br /> (City,State,Zip) <br /> BLACK EARTH,WI 53515 QT ' OUIE, MO 63 6 Wt 1.3%}E---0-CT710k' 114/11(3311 121 <br /> E-MAIL ADDRESS E-MAILAODRESS <br /> DDOLAN @DOLANREALTYADVISORS.COM <br /> PARCEL NO. TOWNSHIP <br /> SECTION 1/4• �f, 1f <br /> 0706-131-8500-5 VERMONT 13 NE NW <br /> •A:i 42 M'A ti'Ii1.1;1*F HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is subject 4264 STATE HIGHWAY 78 <br /> lo field verification.) <br /> LOT BLOCK C.S.M.NO.a PLAT NAME <br /> METES AND BOUNDS:METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT 10 New ❑Addition/Alterwllon CENSUS CODE <br /> A-2(1) 1.0 oemiptlon:CELLTOWER 329 - OTHER . <br /> CATEGORY 0 Residential g Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other CELL TOWER ❑Public; Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO, VARIANCE NO. DEED RESTRICTION <br /> A 10010 2101 Oyes ❑No <br /> SHORELAND FLOOD ZONE WETLAND Yet 'EC/SW NO. <br /> 1e� p( <br /> ❑Yee X No ❑Yea .LV No Q Yea No <br /> HEIGHT(In Feet) BASEMENT leg FLOOR TOTAL SQUARE FEET <br /> 324 <br /> 186 Sq F1 Sq.Ft. 324 • PROJECT COST <br /> NO,OF STORIES bd.FLOOR 3rd,FLOOR $ 40,000.00 <br /> PERMIT FEE <br /> 1 i Sq.Ft. • Sq.R. <br /> $ 280.00 <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 II null and void and may result in an enforcement action. <br /> 2. 1,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&'conipW with all Dane County SIGNATURE: Owner/Agent DATE; <br /> Ordinances.Any unauthorized.change from the information <br /> or plans submitted will inva Late the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED'? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes g No 09 Apr 2009 SCW 1 <br /> 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: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2.SURVEY 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) GCS-rJnglo <br />
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