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eterS011 Ap•Iication Number:APP-20341 <br /> ZONING PERMIT NO. <br /> Technology Group PERMIT <br /> Kevin Peterson ZP20080219 <br /> Partner AGENT/CONTRACTOR INFORMATION <br /> AGENT/CONTRACTOR NAME PHONE <br /> Peterson Technology Group,LLC 334-2500 KEVIN PETERSON (608)516-4201 <br /> P.O.Box 46616 Madison,WI 53744-6616 <br /> Phone:608-516-4201 Fax:608-237-2482 ADDRESS (Number,Street) <br /> !nail:KPetersonOPeteraonTechGroup.com Web:www.PetersonTechGroup.com 5803 DANVILLE DR <br /> (City,State,Zip) <br /> MADISON, WI 53/11 MADISON,WI 53719 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PAT.DUFF @DUFFYGRAIN.COM KPETERSON @PETERSONTECHGROUP.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-024-9162-0 SUN PRAIRIE 02 SE SW <br /> I�J t•1 J ;i r/_\•7 rT:T �HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to 6107 TWIN LANE RD <br /> field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 09187 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: El New ❑Addition/Alteration CENSUS CODE <br /> A-B 30.973 Desciption:INSTALLATION OF ANTENNA 329 - OTHER <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other INSTALLATION OF ANTENNA ❑Public gI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No No ❑Yes )4 No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT j FLOOR TOTAL SQUARE FEET <br /> 150 0 0 0 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 50,000.00 <br /> 0 0 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 50.00 <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 peri.• commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked riting by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNA wner/Age. DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit J Jr. tC -(? <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> LI Yes X:l No 06 May 2008 HJH3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <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 ANY ATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. PERMIT ISSUED AFTER REVIEW BY ZONING ADMINISTRATOR <br /> 545-112(12/05) GCS-single <br />