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* <br /> ZONING PERMIT APPLICATION FOR A SIGN www.countyofdane.com SUPPLEMENT to Web-App <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME GL SCHILTZ PROPERTIES LLC <br /> Zoning status; CUP; Deed <br /> OWNER ADDRESS (Number,Street,City,State,Zp) Restriction;Variance <br /> 25 AUTUMNWOOD CIR MADISON,WI 53719 (# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> gsskitunes@chorus.net 12jSite plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION including dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Grant Signs Grant Signs 12etbacks <br /> AGENT ADDRESS CONTRACTOR ADDRESS <br /> 2810 Syene Road 2810 Syene Road ErDetailed drawings to scale <br /> (City,State,Zip) (City,State,Zip) <br /> Madison,WI 53713 Madison, WI 53713 1211evation plan drawn to <br /> PHONE PHONE scale <br /> E-MAIL ADDRESS (608) 838-7794 E-MAIL ADDRESS (608) 838-7794 <br /> Illumination plans(if <br /> Dan@GrantSigns.net Dan@GrantSigns.net applicable) <br /> 1J;z•1. 4:,1"li11•l-TAi[•7:Ei:l�•i:i,',FAtiC•1:1W 71,7IE 1.33-141 - . iiT17 <br /> PARCEL NUMBER: CURRENT ZONING: ACREAGE: WISCOnS n approval <br /> 038/0708-253-8820-7 HC 3.21 (if appl <br /> TOWNSHIP: SECTION: <br /> Middleton 25 1/4: NW 1/4: SW <br /> ADDRESS: 6704 Watts Rd <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: New Wall Sign F j 004.'5 4adsv Ening district <br /> • <br /> This project is a new sign. 6 <br /> Permitted use <br /> ['This project is an addition/alteration to an existing sign. ,-, <br /> DISTANCE TO LOT LINE(FEET): 70' reque irements footage ,w <br /> SIGN HEIGHT(FEET): 14.8eight requirements <br /> 0)0`Mo..o <br /> SIGN COPY AREA(SQUARE FEET): 19.9 ocational requirements <br /> SPEED LIMIT(MPH): 25.0 Q1ew location survey <br /> and available options ✓I d <br /> TYPE OF SIGN:(WALL/GROUND/PYLON): Wall <br /> ESTIMATED CONSTRUCTION COST: ♦ -I. -1. -0. Q <br /> (Please round to nearest dollar) $ 5,800.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Eves ✓INo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ✓ 4o ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? [fres ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? :fres ❑No <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) [fres Elo ['Don't know <br /> 7. Is this to correct a violation? ❑✓Yes Elo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) <br />