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Ap•lication Number:APP-28647 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080881 <br /> • OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SUMMIT CREDIT UNION (800)236-5560 GRAPHIC HOUSE INC CHRIS FISH (715)842-0420 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4800 AMERICAN PARKWAY 9207 PACKER DRIVE <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53718 WAUSAU, WI 54401 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CHRISFISH @GRAPHICHOUSEINC.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-363-2145-0 MADISON 36 SW Nw <br /> J;t•] I;i CM.1 Dl NI:I 4-1: HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2424 COUNTY HIGHWAY MM <br /> LOT BLOCK C.S.M.NO.gr PLAT NAME <br /> 5 PLAT: NOVATION TECHNOLOGY CAMPUS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: la New ❑Addition/Alteration CENSUS CODE <br /> C-2 3.14 Descnption:6.33'X 0.67'X 12'WALL SIGN 329 - OTHER <br /> CATEGORY ❑Residential A Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:6.33'X 0.67'X 12'WALL SIGN 14 Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �y{ WETLAND EC/SW NO <br /> X Yes ❑No ❑Yes X No ❑Yes p1 No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6 <br /> 12 6 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 800.00 <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 SIGNATU- : •wned• :- DATE:, <br /> Ordinances.Any unauthorized change from the information o <br /> or plans submitted will invalidate the permit x <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑Yes X1 No 14 Nov 2008 RLB <br /> tt��// DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:i� <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 A Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIAL$`_ <br /> 2. SURVEY ADVISORY NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE <br /> BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. <br /> 545-112(12/05) GCS-'ingI <br /> 4/3/00 e—/00 Pc-Pririck <br />