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Ap•Iication Number:APP-33831 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090176 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE HOWARD LIEN & SONS INC (608)423-4048 SAC WIRELESS (608)698-8968 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 450 COUNTY HIGHWAY B 8426 ELDERBERRY LN (City,State,Zip) (City,State,Zip) CAMBRIDGE,WI 53523 MADISON,WI 53717 E-MAIL ADDRESS E-MAIL ADDRESS LIENFARM @SMALLBYTES.NET TREECE @SACW.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/a 1/4 0612-144-9500-7 CHRISTIANA 14 SE SE J aQ 11:+ti r-/c\el el:1 4411111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2389 HIGHLAND RD LOT BLOCK C.S.M.NO.4r PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 541 New ❑Addition/Alteration CENSUS CODE CO-1 .23 Description:CELL TOWER 328-OTHER NON-RES CATEGORY ❑Residential g Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: 180 CELL TOWER AND SHELTER 11.5'X30' ❑Public Xi Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 10008 2099 ❑Yes ❑No SHORELAND �t FLOOD ZONE �t WETLAND yye�t EC/SW NO. CI Yes pi No ❑Yes )4 No ❑Yes ,ryNo HEIGHT(In Feet) BASEMENT j FLOOR TOTAL SQUARE FEET 310 10.1 310 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 18,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 236.00 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 ordina -s.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of co"i.liance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County NATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit / !t.(ij Ad OFF!CE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st 1r'4 ION DATE INITIALS ❑Yes ❑No 05 May 201' SSA1 p DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initial�/CA �_ 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIR THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITI 2. PER RLW ISSUE ZONING PERMIT WITHOUT DOCUMENTS BEING RECORDED(REZ NE 10008/2099) �/I-�. , ) 545-112(12/05) GCS-single r �--' � (J�/ r •� �s (U /tO t i V