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. l <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 /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area 4• 4 •• <br /> Rear Setback <br /> area <br /> 4 <br /> O <br /> co Needs a 10 Feet W co <br /> O Location W <br /> Qw , N Su,vey semack W <br /> O 0 Proposad 169.8' Lkne Co <br /> Addition / n O <br /> Ce iv 35.0 _ P N <br /> it.,_ - - _g. CO <br /> 1. <br /> _yrff#4, J JA <br /> _ _ <br /> • • <br /> 1 Side Setback area N 72°57'40" W I <br /> 33' 33' 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//AAgge� C nt /+ DATE: <br /> Fn 64 r% 1) ro 'crskr 1/`7/IS <br /> SIGNATURE: Owner/Agent <br /> [..: ZiE.ifijfE2 7 <br />