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DANE COUNTY ZONING PERMIT DCPZP-2017-00778 Page 1 oft OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE C&N OF MCFARLAND LLC BAUER SIGN AND LIGHTING (262)784-0500 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) PO BOX 06116 2500 S 170TH ST (City,State,Zip) (City,State,Zip) CHICAGO, IL 60606 NEW BERLIN,WI 53151 E-MAIL ADDRESS E-MAIL ADDRESS TSHARP13 @OREILLYAUTO.COM ADLUGI @BAUERSIGNUSA.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0710-161-9620-3 TOWN OF BLOOMING GROVE 16 NE SE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address Is 1826 S STOUGHTON RD subject to field verification.) LOT BLOCK I C.S.M.NO.or PLAT NAME 2 CSM 06600 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE C-2 Commercial 0.652 Description:REPLACE 2 EXISTING ON-PREMISE ADVERTISING 328-Other Non-Residential District SIGNS Category ❑ Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other. ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C-Town Road 00513 ❑ YES 0 NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES fa NO ❑ YES ® NO ❑ YES 0 NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 16' Sq.Ft. Sq.Ft , PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error Sq.Ft. Sq.Ft PERMIT FEE $200.00 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 SIGNATUR •Owner/Agent DATE: Ordinances.Any unauthorized change from the information or I I`2 4 l l plans submitted will invalidate the permit. • E``- s ` 1 OFFICE USE ONLY Iform version 03 01 01) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑ YES ® NO 11/21/2017 SU3 /� DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: L/10/t ci 0 S L