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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> • You will need to hire a surveyor to prebate a tobabl*Airvey,tbAkr541.9 concha ffrivtgcr••_ 7 : "'•' . <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 thj Mel. <br /> • ntact a Wisconsin Licensor Sri Stirve7o!r,-,. <br /> • Note: A location survey may a4rfi�ntk:o�tb'Y� - R-+�v*T • a <br /> you may need this if . . . ..., _. �''''-' <br /> . <br /> 33' 33' I - t .;: 4. +.It 144.4'-'irt <br /> •'' --8 72°57'-•40"_E�': 54.01' Side Setbactraea* .?,1., . <br /> Front Setback area F ' <br /> 0 I <br /> Rear• <br /> p, ...,,- .. "7 4:- <br /> • .,,, ,• 1 0 li CI; <br /> co Needs a w <br /> O / Location % I ,Ti <br /> W Survey Setback 1 w <br /> 11.1 / w / Line <br /> I 4 Al.'" 169.8 t ,, r aai . <br /> 0 C Proposed .4 Af i = y J p <br /> N O Addition F <br /> re iv 35. I / I ' co <br /> 0 i�� I °ao <br /> hr. - - _g_"if ..4rJ // /%/d R, . 4 e 41•Y.a <br /> 0 1-4 .ryS•.„„ar ,t,,",' ' 1 <br /> N 72°57' 40" W <br /> 1 Side Setback area 1 <br /> 33' 33' I I <br /> , <br /> 1. I,the undersigned, hereby make application for a zoning permit only for the location and the work described herein and <br /> certify to the accuracy of that information. I further certify I am the property owner,or a duly authorized representative, <br /> and may sign this permit application on behalf of the owner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct the project in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with any provisions of the permit renders it null and void and may result in an <br /> enforcement action. <br /> 2. I,the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County <br /> Department of Planning &Development to determine compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of <br /> compliance or until-earlier revoked in writing by the owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> eVICCcow arial- 1 •14• 1‘ <br /> SIG E: r/Agen <br />