DCPZP-2015-00140 - Laserfiche WebLink

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• A location survey, by b a licensed surveyor, is required if your construction is within 10 feet of a setback line. • You will need to hire a surveyor to prepare a location survey to verify the construction location. . • The survey shall be done at the time when foundations or basement walls are completed. • A location survey shall be submitted to the zoning office before continuing contact on project.a Land Surveyor. • Note:A location survey may add significant cost to your project • you may need this i f . . . I 33' 33' —Front setback area 5 72°57'40" E 254.01 • sae Setback area • Rear °o �/ %%� t 10Fsd Z t'.-31- r �� Needs a a, 0 Location a 3 ' W Survey � ..ssamc` s a W � n � 169.8' c N O re p 35.� _ • • f••• — — —,p Z - — jim:#4,# # 4 I alea setback area N72°57'40" W ' — — — 33' 33' � -- ---1— — roin and 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described heresenein , certify to the accuracy of that information.I further certify I am the property owner,or a duly authorized rep and may sign this permit application on behalf of the 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 those conditions.I understand that failure to provide accurate information or to comply with any provisions of the permit renders it null and void and may an enforcement action. • 2. I,the undersigned,hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning&Development to determine compliance withe�i�8nzoning ivanan ordinances.certificate consent is valid for the period commencing with issuance of this g permit compliance or until earlier revoked in writing by the owner of the property. PRINT: OwnerlAgentve ell jar) Nib es l cc DATE C- . C r ( SICNATU- , ertAgent u-� al/ .