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Apelication Number: APP-29152 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080920 <br /> OWNER INFORMATION I 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-MAILADDRESS 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 /> -,:Z•] 4:1 C/_11111:l 4411111 HOUSE NOT--_, ST.DIRECTION STREET NAME---' ST.TYPE <br /> (Assignment of new address is subject ,,..--,-- <br /> to field verification.) (_ _ <br /> LOT BLOCK C.S.M.NO.e PLAT NAME <br /> 4 CERTIFIED SURVEY MAP: CSM 09632 <br /> , ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New CI Addition/Alteration I CENSUS CODE <br /> C-2 3.395 Description: X�, WALL SIGN f .� ,51A 19,00`N 329 - OTHER <br /> CATEGORY ❑Residential X Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> 00th -)E-5 4.'_WALL SIGN — G.--.% t?■C t=. 1--t I .>i= ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND �l FLOOD ZONE �1 WETLAND EC/SW NO. <br /> X❑Yes No ❑Yes ,r]I No CI Yes Yes ,n+No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR )Z 4 ) 5 t— TOTAL SQUARE FEET I I <,,:. <br /> c� -1 -:170_ <br /> I / O(p 1 Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 10,000.00 <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 of 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 I DATE: <br /> f <br /> Ordinances.Any unauthorized change from the information i <br /> %l►' ( / i <br /> or plans submitted will invalidate the permit I. I, 4 I ` �°�� <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes V No 08 Dec 2008 RLB 12c/C9 ZE <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:— i-i ::,-5 -t;-, -;. ) _ s/Z,C/C9 -4F <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 ANX,JtA¢PIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS [' <br /> 2. SURVEY 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 l■.)O1- z -t•-'tAX 1 co '' a«=A. ¶ -c I 14 1 c-2 3 t-w( ' F'1E• t3 <br /> C.c t`-t (T- <br />