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, <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. P..nc e 1 of 2 <br /> ... ,. . . J <br /> . . . ,_...: ..... . <br /> OVVNERANFORMATIONJ I AGENT/CONTRACTOR rgrO P MA I ION <br /> .. <br /> diKiNelki<1.-Aitt .. . " "'P AikattatifiWirtifi NAtit . • . iikiNE ' ' . .. - ' — <br /> HPT TA PROPERTIES TR (601)684-8686 Gator Sign Company (601)684-8686 <br /> BILLING ADDRESS(*roper,Street) ADDRESS(Number,Street) <br /> 24601 CENTER RIDGE RD SUITE 200 IQ al 1:asel Ptrace.L.0 1 (.?, . <br /> (City,State,Zip) (City,State,Zip) <br /> WESTLAKE,OH 44145-5634 McCornb,MS 39648 <br /> E-MAIL ADDRESS ,E-MAIL ADDRESS <br /> C...\NI'S"Ce wen crvors%," c>c.$14.1.Conn <br /> . . ... „ . • . ...... -._ .•• ._ .. <br /> . . . <br /> PARCELIO. . TOWNSHIP 7. SECTION 1/4 , . 4144/4. . <br /> 8 NE - SE <br /> .6i10,081-9920-5 tosciwiwitiku • : <br /> : PROPERMV:ID,RESSZe;:t HOUSE NO. ST.DIRECTION t: -NAME <br /> US HIGHWAY 51 <br /> (Aiiiiiiiieient et riciiv address 5901 <br /> stlbjebt to field verification.) . . ... . <br /> . . <br /> LOT • BLOCK C.S.M.NO orPLAT NAME <br /> METES AND BOUNDS <br /> A., <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED Pkaitet: . . <br /> C-2 Commercial Description: 328-Other Npri,Residential. <br /> District <br /> . . <br /> Category 0 Reeidentiel RI Commercial 0 AgriOditiital SEWER SANITARY PERMIT NO.' •1 <br /> Public <br /> 0 Other. : ... . _ . .. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. vARiAhidE,NO. 'DEED RESTRICTION <br /> A-US or State highway 848 EJ yEs El AO <br /> ' -- •••• <br /> SHORELAND FLOOD ZONE WETLAND EC/SWNO. <br /> 0 YES 0 NO ID YES fa NO 0 YES IZ1 NO <br /> - . <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 988 Sq.Ft. Sq.Ft.488 . 'Ober,' <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR _ _)).t00-0.0 <br /> I A • <br /> SI.ft * eit <br /> Sq.Ft Pott-pte . <br /> L the undersigned, em the owner of the:potietti:or an mittigitzott 13gal-ft:aging,or tOtitiefrOttia-Omer 61 ' <br /> the property. I certify that the work to be,.perforitred, as part Of thiS zoning Cerra:Will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and Subject <br /> to enforcement action. <br /> I acknowledge that lam responsible for.cOnwlying-With State and.Federal laws concern*"construction -: <br /> near or on wetlands, lakes, and,ttreartit.•WettendS tat are not associated with open water can be difficult <br /> to identify. Failure to comply may result in removal or modification Of 000StrtidlOri that Violates the laW or <br /> other penalties or costs..For more information,visit the Department of Natural Resources web Oage at <br /> www...oh r.state mi.us or contact the Department or'Natural'Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane Cr •..ty zoning inspectors for the , <br /> purposes of determining compliance with the zoning ordinan7s. .. . . • <br /> 0wrIer$L Agent hereby agree to comply with all Dane CiAllitY SIGNATURE 0..,ii:.rfc''i'kit 0A:ta <br /> otinnantec Any unauthorized chanteltern the irifeiittaleti or :. .• .•r •; <br /> PlAriS,*lib rn it t d WilpfiValidate the•pef:0„„ . • , 1,., ," •..3-gl-vi -, <br /> OFFICE US:ONLY (form version 03.00.07, <br /> '.••:"igi.7q17 -,-"....' ''--- '7'lalkelittetiOntiAft" • ''• •••'OttAift-.7' - • <br /> Ei YES El NO DATE REVIcyveo"- INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: . <br />