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DANE COUNTY ZONING PERMIT DCPZP-2016-00658 Poo 1 of 2 OWNER INFORMATION AGENTiCONTRACTOR INI=ORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE 6702 PIMA DRIVE LLC (608)222-1881 Capital City Neon Sign Co.,Inc. (608)222-1881 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 99 W BELTLINE HWY 2714 Industrial Drive (City.Slate.Zip) (City.State,Zip) MADISON,WI 53713 Madison,WI 53713 EMAIL ADDRESS E-MAIL ADDRESS ccsigns©sbcglobal.net PARCEL NO. TOWNSHIP SECTION 1/4 1141/4 0709-361-9090.6 TOWN OF MADISON 36 NE SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address Is 99 W BELTLINE HWY subject to nod verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 CSM 02064 - ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE C-2 Commercial Description:16'x 5'x 29'pylon sign 329-Other District Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. Public ❑ Other: ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A-US or State Highway DCPREZ-1950-00000 ❑ YES ❑ NO SHORELANO FLOOD ZONE WETLAND EC/SW NO. 0 YES 0 NO ❑ YES ❑ NO ❑ YES ❑ NO HEIGHT(In Feel) BASEMENT 1st FLOOR TOTAL SQUARE FEET 29 Sq.FL Sq.Fl.340 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error 1 Sq.Ft. Sq.Ft. PERMIT FEE $100.00 I,the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be 'fficult to identify. Failure to comply may result in removal or modification of construction that violates t ' or other penalties or costs. For more information, visit the Department of Natural Resources we $' to www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. + I hereby consent to the entry on the permitted premises by Dane County zoning inspf the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNA RE:Owner/Agent DATE: Ordinances.Any unauthorized change from the information or - plans submitted will Invalidate the pemlit. 41.. I _ A. OFFICE USE ONLY (form v,:rslen 03.01.00) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 10/06/2016 RLB ❑ YES ,'la NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS huttals: .._-`, 1 Ales