DCPZP-2015-00309 - Laserfiche WebLink

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• A location survey, by a licensed surve y or, 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 work on the Project. Land Sunreyon - Note:Alocation survey may add significant cost to your project.Please contact a Wisconsin licensed • you may need this if . . . • 33' 33' 1 I I S 72'57'40- E 254.01' sai s.mad am • rrwitsNh.ec... Row rif r W///,7/&7 S7/070,34 WO P.to Needs a 10 R'" .- �,� Location O W , W survey /�4.. .« 3 Q w . 169.8' o Ce 0 35. / _ - Eo - - -`, 0, , .Z Gk / d Ube&ores N 72.5r 40- W 33' 33' 1 I 1. I,the undersigned,hereby make appication for a zoning permit only for the location and the work described herein certify to the accuracy of that information.I further certify I am the property owner,or a duly authorized represo and may sign this permit application on behalf of the owners)of said property.and I have read and understand in compliance with those conditions.I understand that failure the condMons of this permit and wM constrUct the project to provide accurate Information or to comply with any provisions of the permit renders it null and void and may result in an enforcement action. • 2. 1,the undersigned,hereby consent to the entry on the permitted premises by zoning inspect of the Dane Cwt is This Department f for the period riod commencing&ncing Development with Issuance this zoning permit and terminating withgissuanceof certificate of valid for the period commencing compliance or until earlier revoked in writing by the owner of the property. I PRINT: OMStN111aM �d / 4 1 (� `Q 5, --t!.-L DATE: 5 ill - ie --(c- `-tb . a SIGNATURE: Owned i (-+ „A t •