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DANE COUNTY ZONING PERMIT DCPZP-2016-00798 Pays1oft OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE RPRT LLC (608)220-8858 IDS Graphics LLC (262)343-2899 BILLING ADDRESS(Number.Street) ADDRESS(Number.Street) 8503 AIRPORT RD 1530 Corporate Center Drive#3 (City,State,Zip) (City,State,Zip) MIDDLETON,WI 53562 West Bend,WI 53095 E-MAIL ADDRESS E-MAIL ADDRESS russ @birrenkott.com mike @graphicsbytd.com PARCEL NO. TOWNSHIP SECTION 1/4 114 1/4 0708-253-8280-1 TOWN OF MIDDLETON 25 SW NE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address Is 6626 WATTS RD subject to field verification.) LOT BLOCK 'C.S.M.NO.or PLAT NAME METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: CENSUS CODE C-2 Commercial 0.689 Desuiption:11.33'x 3'x 15'south elevation wall sign 329-Other District Category ❑ Res:den& ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other Public ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C-Town Road DCPREZ-0000-01038 ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ❑ NO p YES ❑ NO HEIGHT(In Feel) BASEMENT 1st FLOOR TOTAL SQUARE FEET 15 Sq.Ft. Sq.Ft.34 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error 1 Se.Ft. Sq.FI. 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 cons tion near or on wetlands, lakes, and streams. Wetlands that are not associated with open water ca Oe fficult to identify. Failure to comply may result in removal or modification of construction that violat:an aw or other penalties or costs. For more information, visit the Department of Natural Resources •24,fe at 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 inspr :1:,1 , or the purposes of determining compliance with the zoning ordinances. Owner 8 Agent hereby agree to comply with all Dane County SIGNATURE: ,wner/Aent DATE: Ordinances.Any unauthorized change from the information or 6 plans submitted will invalidate the permit. 'I?'_/,2_„.y' OFFICE USE ONLY (form version 03.01.00) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 12/27/2016 RLB ❑yy,YES 0 NO DATE REVIEWE INITIALS ,_ } 2nd INSPECTION DATE INITIALS 41A