DCPZP-2009-00177 - Laserfiche WebLink

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s, • Ap.Iication Number:APP-33832 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. . ZP20090177 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE BEUTLER REV TR,ANTON J&BERNADETTE A (608)424-9939 SAC WIRELESS (608)698-8968 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) on S 209 STATE HIGHWAY 69 8426 ELDERBERRY LN (City,State,Zip) (City,State,Zip) NEW GLARUS, WI 53574 MADISON,WI 53717 E-MAIL ADDRESS E-MAIL ADDRESS BERNIEANDTONY @TDS.NET TREECE @SACW.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0508-312-9171-0 MONTROSE 31 - s iv _ W1f.S V) •J (•l»a 1/11717 N 11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 259 OLD HIGHWAY 69 LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 54 New ❑Addition/Alteration CENSUS CODE CO-1 .14 Description:CELL TOWER AND BUILDING 328-OTHER NON-RES CATEGORY ❑Residential M Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI Other 170'CELL TOWER AND BUILDING ❑Public 11 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 10009 2100 ❑Yes ❑No SHORELAND ,(/ FLOOD ZONE WETLAND EC/SW NO. ❑Yes OLJ No ❑Yes INo ❑Yes No HEIGHT(In Feet) BASEMENT 1f FLOOR TOTAL SQUARE FEET 10 80 80 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 ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of complia , or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGN T i RE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit ' / /i/ c5-o9 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED NITIALS 1st INSP TION DATE /7.1 INITIALS ❑Yes ❑No 05 May 200' SSA1 '1"' I V t (J DATE REVIEWED Q INITIALS 2nd INSPEC ION TE INI LS , , 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY _ IFITIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INIT I,(�J� L 2. ER RWL TO ISSUE ZONING PERMIT BEFORE DOCUMENTS ARE RECOR ED U 1 4-- 0 1 & 545-112(12/05) GCS-single �\ S-Nr� r r■ v UT