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• <br /> Ap.Iication Number:APP-40948 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> - ZP20100035 <br /> OWNER INFORMATION 1 AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> CC WAREHOUSING LLC (608)884-9126 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2413 HIGHWAY 133 , <br /> (City,State,Zip) (City,State,Zip) <br /> BLUE RIVER, WI 53518 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0512-274-6040-0 ALBION 27 SE SE <br /> •,;ter.24ACM:11100;1 =HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 170 U S HIGHWAY 51 <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 4 CONDOMINIUM: ALBION COMMERCIAL CONDOMINIUM <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 0 New ❑Addition/Alteration CENSUS CODE <br /> C-2 Description:ON PERMISES SIGN 329 - OTHER <br /> CATEGORY ❑Residential A Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: _ _ CI Public I Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND y EC/SW NO. <br /> ❑Yes XI No ❑Yes M No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT Jst FLOOR TOTAL SQUARE FEET <br /> 5 0 26 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 668.00 <br /> PERMIT FEE <br /> 0 Sq.Ft. Sq.Ft. $ 100.00 <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,x spectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordi,��'� ces.This consektf is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of dort lianc or til' al-jer revoked in writing by the owner of the property. <br /> i 1% <br /> Owner&Agent hereby agree to comply with all Dane County SIGtt TUtf Own r�/Age t DATE: 1, <br /> Ordinances.Any unauthorized change from the information , , ` _. (� gyp-` �U <br /> or plans submitted will invalidate the permit. fie/ <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTIQN DATE INITA S, <br /> ❑Yes No 19 Feb 2010 SSA1 'II 7 I W <br /> DATE REVIEWED INITIALS 2nd INSPECT! N DATE INITIALS <br /> Initials: <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VO F NY ' <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 545.112(12/05) GCS-single <br />