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t• Ap.Iication Number:APP-21097 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080293 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MAINBELT LLC (608)223-2760 W SQUARED LLC 6082157323 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) z.Z2 2_y, <br /> 2800 ROYAL AVE 6100 RIDGEWOOD AVE. <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53713 MONONA, WI 53716 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JUDIK @C21AFFLIATED.COM ,owt. ;,..)At.-i>t3►ut� a sl3G Fi_oA34 1 r--1E-C- <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-354-8050-5 MADISON 35 SE NE <br /> J:t•l J 4 a ifIll ll'1:4 4-4:11.HOUSE NO.'Z` ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2 W BELTLINE HWY <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CERTIFIED SURVEY MAP: CSM 01873 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 54 Addition/Alteration CENSUS CODE <br /> C-1 1.05 Description:LOBBY AREA,GARAGE/STORAGE AND SECOND STORY MEZZANINE 320 - INDUSTRIAL <br /> CATEGORY ❑Residential SEWER SANITARY PERMIT NO. <br /> Commercial Agricultural <br /> ❑Other: . r..sV ttxl2 ( 'c) Et_ St�CL_tANEt, .,/....,1 (�+r—CY 4 IT 2I Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 1096 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE �yt WETLAND EC/SW NO. <br /> CI Yes X No CI Yes X No ❑Yes A No ES2008-0090 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1100 1540 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 600,000.00 <br /> 440 PERMIT FEE <br /> Sq.Ft. Sq.Ft. $ 1,400.00 <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 ordinan s.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of cpniplia ce or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIt3NAIURE: ner Agent DATE: <br /> Ordinances.Any unauthorized change from the information . (j,It,(, 1 I� /. l 0 <br /> or plans submitted will invalidate the permit <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIO I E INITIALS <br /> s ❑No 22 May 2008 DE <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: . 0�/ / <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions. PROJECT R. I UIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF • DIFICATIONS 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/ <br /> 545-11 (12/05) (ACS-single .- // �! s,/ S VII • v <br /> / 4 ND 5�'v"! ZY /q/��= �/r1G�`� (eel 0 tAt1'�i�,t� Y ail/ (�1 �� <br />