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Arai libation Number:APP-21083 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080287 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRUCE HAVEL (608)764-5117 LAMAR ADVERTISING (800)362-9442 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 4210 OLD DEERFIELD RD 5101 US HIGHWAY 51 <br /> (City,State,Zip) (City,State,Zip) <br /> DEERFIELD, WI 53531 JANESVILLE, WI 53546 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MROWLAND @LAMAR.COM <br /> PARCEL NO. i TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0712-161-8140-2 DEERFIELD 16 NE NE <br /> 11:(01 4[i 1'M A'1.1:I HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 4210 OLD DEERFIELD RD <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: kl New ❑Addition/Alteration CENSUS CODE <br /> C-1 .137 Description:BILLBOARD SIGN 23X10X34 ABOVE (it 329 - OTHER <br /> CATEGORY ❑Residential A Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: BILLBOARD SIGN 23X10X34 ABOVE CL ❑Public XI Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes X1 No <br /> HEIGHT(In Feet) BASEMENT ist FLOOR TOTAL SQUARE FEET <br /> 34 460 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR fir FLOOR $ 13,000.00 <br /> PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 500.00 <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 period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County°SIGNATU- : Owner/Agen 3pATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit 111161 <br /> tik _ u� - _ r, <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS st I •ECTION DATE INITIALS <br /> Yes ❑No 22 May 2008 HJH3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> a' I1: ��n11AtLV_ <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 A M FICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ II <br /> 545-112(12/05) GCS-single <br /> /l/oS{14,-F z/1,/; 0 72( <br />