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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pagelof2 DCPZP-2017-00500 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE LOWELL A WOLF INNOVATIVE SIGNS (262)432-1330 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 612 N SAWYER RD 21795 DORAL RDSTE B (City,State,Zip) (City,State,Zip) OCONOMOWOC, WI 53066 WAUKESHA,WI 53186 E-MAIL ADDRESS E-MAIL ADDRESS SEANW @WOLFPAVING.COM JAMIE @INNOVATIVE-SIGNS.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0810-231-9500-1 TOWN OF BURKE 23 NE SE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 5423 REINER RD subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE C-2 Commercial 17.4 Description:MONUMENT SIGN WITH EMC 329-Other District Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. Private ❑ Other:MONUMENT SIGN ROAD CLASSIFICATION REZONE NO. C.U.P.NO. 'VARIANCE NO. DEED RESTRICTION C-Town Road YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. D YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTA UARE FEET 7 Sq.Ft. Sq.Ft. )4` ' PROJE COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error Sq.Ft. Sq.Ft. 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 construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page 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 inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County 10314AtuReloweismorit DATE: Ordinances.Any unauthorized change from the information or • plans submitted will invalidate the permit. 4 i , z7z;i41tadf„ 8/11/17 OFFICE U.`•c ONLY (form version 03.01.01) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 08/09/2017 SLJ3 ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS heft JLD