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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 /> 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 /> • Rear <br /> Setback <br /> r ��//•////��///j/////�i%%%/%%%/%%�/%%%/%% � <br /> area <br /> G . O <br /> O / co <br /> F <br /> 0 M Needs a 10 Feet / w <br /> •_•_•,•■■■ Location / y <br /> QW to Survey Setback W <br /> > 169.8' line F co <br /> Ob Proposed J O <br /> 1t a N 0 I Addition <br /> 35. N N <br /> o <br /> o No co <br /> ti - - e- <br /> _ _ YireA,"/. ,# cn <br /> Side Setback area N 72°57'40" W 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 /> avo1,40-eolive-2„ 77010(5- 77- i‘ail // <br /> -7° 7 Jai') <br /> SIGNA .1 13 rit <br /> '7e 0-0 <br /> dill <br />