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1 ,, t • ly a licensed surve or is re uired if our construction • <br /> A locate y ► q Y <br /> is wit feet • , setback line. <br /> • You will need Orea�surveyor to pr e a location survey to verify the construction location. <br /> • The survey shall be done ayt� k�lthen foundations or basement walls are completed. <br /> • A location surve omitted to the zoning office before continuing work on the project. <br /> • Note: A •;.:4'. urvey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may. need this >tf ' , <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F_Side Setback area <br /> • <br /> Rear <br /> a as <br /> O / <br /> I- <br /> 10 Feet I- — <br /> M Needs a / W <br /> eeee:�eee Location / 2 <br /> QI w , / 1 N Survey % Setback w <br /> 0 0 ..s- V Proposed 169.8' Line <br /> ao <br /> CC N O Addition -2 O <br /> E4 35. 2 O i0 <br /> O �% %% a N <br /> ° —F 4 ° <br /> I Z <br /> - - __QC ��l!/.J1�G�GmldLGJLGJGLU CCC/"#/e'l!/!!/.11J A <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 C . )S (c.S "J DATE: <br /> 9 <br /> SIGNATURE: Owner/Agent <br />