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UO MLA. Jr ..-Li;au <br /> R cl6b <br /> A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> j <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 /> you may need this if . . . <br /> 33' 33' <br /> I I <br /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> 1 Rear <br /> iir,,, .,..„ 1 Setback <br /> area <br /> r a <br /> • 0 <br /> O Needs a 10 Feet / W ,_ <br /> ....,... Location Ø4. Setback <br /> w 1 S urvey 169.8, Z m <br /> Csl <br /> .4 a) <br /> ._. <br /> I 2 <br /> - — _I�/!l��I�GG%GGUGG%LG%Ll!/l!/l1GGl�GIGG! <br /> • r • <br /> I Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <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 /> _,.s5C, PY C-Iq"1101St S 11/13-- <br /> SIGNATURE: Owner/Agent ,, <br /> \-1-• 'N`:7 — <br /> • <br />