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'`1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? <br /> Liles Flo LDon't know <br /> 2. Is there a wetland or floodplain on or near the property? <br /> 3. Have you talked with the township about your project and are they in agreement? L3'es oo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? (yes a() <br /> 5. Is this project associated with a rezone/CUP/variance (petition/appeal# ) <br /> 6. Is a location survey required? (see reverse) (leave blank if none) <br /> 7. Is this to correct a violation? C1'es ao won't know <br /> L 'es OJo <br /> U'es :No won't know <br /> 545-112 <br /> (4/08) <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) 1 1 1 <br /> A location survey, by a licensed surveyor, is required if your <br /> construction is within 10 feet of a setback line. <br /> • You will need to hire a surveyor to prepare a location survey to verify the construction location. <br /> • The survey shall be done at the time when foundations or basement walls are completed. <br /> • A location survey shall be submitted to the zoning office before continuing work on the project. <br /> • Note: A location survey may add significant cost to your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> I 1 <br /> you may need this if . . . <br /> 33' 33' I I <br /> I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • ., • Rear <br /> O j /,' 1 Setback <br /> !/ ��������//// area <br /> 10 Feet / 1— <br /> .2 Needs a i� W <br /> Location w N. <br /> Q Lu , W ` Survey / Setback Q <br /> OO Proposed ^4, 169.8' ~Line ~ CO <br /> _/ N 1 N J Addition //' O <br /> CC 35. Cs) <br /> o <br /> Z CO <br /> T- <br /> 4ej J Ai_ _ _• r r j <br /> Side Setback area N 72°57' 40" W <br /> 33' 33' I <br /> \ J <br /> 1. I, the undersigned, hereby make application for a zoning permit only for the location and the work described herein <br /> andcertify to the accuracy of that information. I further certify I am the property owner, or a duly authorized <br /> representative, and may sign this permit application on behalf of the owner(s)of said property, and I have read and <br /> understand all of the conditions of this permit and will construct the project in compliance with those conditions. I <br /> 1 <br />