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SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION FOR A SIGN www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> 2500 Rimrock LLC <br /> ❑Zoning status; CUP; Deed <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Restriction;Variance <br /> 2450 Rimrock Road, Suite 100, Madison,WI 53713 # <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS ( PUD ) <br /> kbishop@alexandercompany.com ❑✓ Site plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION including dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Alexander Company Ryan Signs, Inc. Q Setbacks <br /> AGENT ADDRESS CONTRACTOR ADDRESS <br /> 2450 Rimrock Road Suite 100 3007 Perry Street ❑✓ Detailed drawings to scale <br /> (City,State,Zip) (City,State,Zip) <br /> Madison, WI 53713 Madison, WI 53713 ❑✓ Elevation plan drawn to <br /> PHONE PHONE scale <br /> E-MAIL ADDRESS E-MAIL ADDRESS ❑ Illumination plans(if <br /> kbishop@alexandercompany.com mbgrowneyselene@ryansigns.net applicable) <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑Wisconsin DOT approval <br /> 032/0709-363-2230-0 PUD 1.246 (if applicable) <br /> TOWNSHIP: SECTION: <br /> • Town of Madison 36 1/4: NW of 1/4: SW <br /> ADDRESS: 2400 Rimrock Road 2500 RIMROCK RD <br /> CSM: 13,312 LOT 2 SUBDIVISION BLOCK/LOT <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: ( 2,6„Is<---- S ( --t-1 Zoning district <br /> . ❑✓ This project is a new sign. <br /> U Permitted use <br /> [1This project is an addition/alteration to an existing sign. <br /> DISTANCE TO LOT LINE(FEET): �� ❑ Square footage <br /> q $ — ro requirements <br /> SIGN HEIGHT(FEET): I a '. c,�, ( .,,.i Li t t_i tva c) ❑ Height requirements <br /> SIGN COPY AREA(SQUARE FEET): c, k 16 ❑ Locational requirements <br /> SPEED LIMIT(MPH): 3 5- k p ❑ Review location survey <br /> and available options <br /> TYPE OF SIGN: (WALL/GROUND/PYLON): W/kt-t_ S t (" o <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ ♦ $ S b o. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes ❑No ®Don't know <br /> 2. Is there a wetland or floodplain on or near the property? I—Yes ❑No MDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes RNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ❑No `toNT kNaus <br /> 5. Is this project associated with a rezone/CUP/variance (petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) [Yes allo ❑Don't know <br /> 7. Is this to correct a violation? EYes F-No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ —► <br /> 545-112(4/08) <br />