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I <br /> 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 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 <br /> you may need this if . . . <br /> 33' 33' I I <br /> I I <br /> • Front Setback area S 72° 57' 40" E 254.01' r Side Setback area • <br /> I1 Rear <br /> Setback rir j ZZt, // area <br /> O <br /> 03 Needs a 10 Feet w sm- <br /> / ••■■■■•• Location W <br /> Q1 W W Ø+ .Setback N O O / = Proose 169.8 op <br /> CC N O Addition 0 <br /> 0 35. % _ P. ED <br /> O N <br /> —, <br /> I- <br /> Z - - - l [[U[[V[GU[!1/!1/!1/!1/11<[!1G[!J cn <br /> A, <br /> • N 72°57' 40" W • <br /> ISide Setback area <br /> I <br /> 33' 33' I <br /> 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 /> 1 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 /> _20i411 I' i 3- 7-2 ,/, <br /> 4 SIGNATU E: Own gent <br />