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A loc bon survey, by a licensed surveyor, is required if your construction <br /> is wit in 10 feet of a setback line. <br /> • You wi need to hire a surveyor to prepare a location survey to verify the construction location. <br /> • The su ey shall be done at the time when foundations or basement walls are completed. <br /> • A locat en survey shall be submitted to the zoning office before continuing work on the project. <br /> • Note: location survey may add significant cost to your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> (- <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 /> I • % %/�J� 1 Rear <br /> C � ��� � Setback <br /> '...', <br /> V:%/�� ������� area <br /> r 10 Feet % et <br /> CO <br /> Needs a I W V <br /> Z <br /> eeee:eeee Location j w <br /> I w Survey �4 —Setback w 3 <br /> • O ' Propposed 169.8' Line F 6 <br /> N 0 Add'dion F- O <br /> ., iv 35. % <br /> � o o N N <br /> It - - j DD <br /> _riff % <br /> • <br /> r <br /> I Side setback area N 72°57'40" W <br /> 33j 33' I I <br /> I <br /> 1. I,the und'-reigned, hereby make application for a zoning permit only for the location and the work described herein and <br /> certify to he accuracy of that information. I further certify I am the property owner, or a duly authorized representative, <br /> and may -ign this permit application on behalf of the owner(s)of said property, and I have read and understand all of <br /> the condi ions of this permit and will construct the project in compliance with those conditions. I understand that failure <br /> to provid=accurate information or to comply with any provisions of the permit renders it null and void and may result in an <br /> enforcem-nt action. <br /> 2. I,the and-rsigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County <br /> Departm=nt of Planning&Development to determine compliance with the county's zoning ordinances.This consent is <br /> valid fort e period commencing with issuance of this zoning permit and terminating with issuance of a certificate of <br /> complian - or until earlier revoked in writing by the owner of the property. <br /> I <br /> PRINT: a I- /Agent DATE: <br /> 'Re' n L 1.,, EJ (p w_. 0 6 Q. C 6.2 -1 - -a 1 - N5 <br /> SIGNATUR= Owner/Agent <br /> r-R• ,. .-- -._ 1" 4=NdalVitZay <br /> ID <br />