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Ap.lication Number: APP-29151 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080919 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BUD-MAR LLP (608)754-1907 BABCOCK ADVERTISING (608)931-7410 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 684 NORTHVIEW RD P.O. BOX 1246 <br /> (City,State,Zip) (City,State,Zip) <br /> WAUKESHA,WI 53188 JANESVILLE, WI 53547-1246 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MEREDITHDOOLEY @HOTMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-014-8450-0 RUTLAND 01 SE NE <br /> :lel J 4 ar 1"/_1'l'l:l*fib HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 4 CERTIFIED SURVEY MAP: CSM 09632 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT 111P1 <br /> icu New ❑Addition/Alteration CENSUS CODE <br /> C-2 3.395 Descdpti 2'X 5X 17'WALL SIGN 329 - OTHER <br /> CATEGORY ❑Residential 4 Commercial Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:22'X 5'X 17'WALL SIGN ❑Public $J Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 110 <br /> 17 110 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1 0,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 100.00 <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 it null and void and may result in an enforcement action. <br /> 2. I,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 cf 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 to comply with all Dane County SIGNATURE: Owner/Agent n DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit A. I E it/01 I A / _ - is 0' <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> O Yes )I No 08 Dec 2008 RLB <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initial v� 7Ce.`j SiOC(0C1 <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 AN M IFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIAL <br /> 2. SUR Y ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> SIGN IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-single <br /> �rLar�u`U �XLE`J it-(AX lb() Sr- l� SPEEA - 'MI T- <br /> = 3.5 MlP,4 oe CE-17 <br />