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04/tI'd/1I tfl's 1 is ib bbti-2b(-1 bob 1JHNt L:U I-'LANNINI I-14UL b1/Iii a ' Ap•lication Number:APP-33329 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. •ZP20090114 • OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DAVID ZOROMSKI (608)439-3544 DOLAN REALTY ADVISOF4)LLC (314)726-2610 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 9444 W MINERAL POINT RD • ., 11 (E Lock 1, -,ci Ave._ZO_; (City,State,Zip) (City,State,Zip) MT HOREB,WI 53572 We Rti R ovs X31 lei E•MAILADORESS E-MAIL ADDRESS ti � DWZOROMSKI @FACSTAFF.WISC.EDU Dot..ii-n1 n ._ . —_r41, u ; 1W I ' C. CAW PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/A 0707-302-9000-9 CROSS PLAINS 30 NW SW -Jr t agiu !1' 1 t mHOUSE NO, ST,DIRECTION STREET NAME ST.TYPE (Assignment verification.)lssubject 9446 W • MINERAL POINT to&id LOT BLOCK C.S.M.NO.pt PLAT NAME METES AND BOUNDS:METES AND BOUNDS • ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT. VI New ❑Addition/Alteration CENSUS CODE • A-2(1) 1.o pe„iptl,n:CELL TOWER . 329 - OTHER CATEGORY ❑Residential I Commercial ❑AgrIbulturel SEWER SANITARY PERMIT NO, ❑Other:CELL TOWER ❑Public )I Private ROAD CLASSIFICATION REZONE NO, C.U.P.NO. VARIANCE NO, DEED RESTRICTION C 9963 2086 O Yes ❑No • SHORELAND FLOOD ZONE WETLAND w1 EC/SW NO. ❑Yee X No ❑Yee X No C)Yes 2)No HEIGHT(In Feet) BASSYIENT tat FLOOR TOTALSQUARE FEET 160 Sq.Fi. Sq.Ft. 297 297 PROJECT COST NO.OF STORIES gag FLOOR 3.td FLOOR $ 40,000,00 1 PERMIT FEE Sq Ft. Sq,F1, $ 280.00 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 shell 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 veld 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&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any Unauthortzed.change from the information or plans subm►tted will hrvaEdate the permit • OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS • L7 Yes XNo 09 Apr 2009 SCW1 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS . initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE CondifiopS: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL,BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS • 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED'TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545.112(12/05) OCS-aingta .