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F <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: Alocation 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' F Side Setback area <br /> • I I Rear y-Z/Z 1 I Setback <br /> area <br /> 00 j i I p <br /> r 10 Feet %%� I <br /> Needs a / I <br /> 0 % eeee:�eeo- Location I <br /> QI W 7 / ' N Survvey s- ~Smack I 0 / "A 169.8 N Proposed I F0 <br /> Ce Q Addition iv 35. j %% I o I �ti — — I Z_ — _J ¢ �/!1�!!�G�J�%��/!1!��' JAI . I co <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> 1 <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 /> G Q c c Lie`'N 1.1// 0-Y"0 61 <br /> SIGNPTU- Owner/A ent <br />