DCPZP-2015-00302 - Laserfiche WebLink

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A location-surrey, by a licens#surveyor, isrequired 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 work on the project. • Note: A location survey may add significant cost to your project_Please contact a.Wisconsin Licensed Land Surveyor. you may need this if . . . 33' 33' I I I I Front Setback area S 72°57'40" E 254.01' F Side Setback area I • Rear iirr ZZ/ �. 1/% 1 Setback area O . / C 0 10 Feet F r Q Needs a W "' ,....,... Location Ø�...setback w I N r/ 169.$Addition ..� O 0 35. G _ is CN ._ I z _lw .4,J co _ _ • r Side Setback area N 72°57'40" W 33' 33' I 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 information. I further certify I am the property owner, or a duly authorized representative, 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 nutt and void and may result in 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 with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. PRINT: Owner/Agent DATE: / / r -7 .n. (-- C//8// S...- SIGNATU E: Owner/A e