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, 10112/2009 16:01 608-267-1540 DANE CO PLANNING PAGE 03/03 <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 /> C.4/ C-‘)7 <br /> 3 33' <br /> —Front Satbeok wee S 72°57'40" E 254.01' F SOO Setbeek 3ree <br /> ~_ Rear <br /> orel <br /> EJCA...� f�t� o r-oet , <br /> CO e.■-- Needs%1Z l 4 W to <br /> Q i6•m__• ). Location ? <br /> //�%�� <br /> 9 h <br /> w III W Survey \ 4— elbnn W <br /> N e —t,1, ^�N r 169.8' Line } <br /> g0 <br /> Q AualtIon JO <br /> N 35.0 I a m <br /> O N N <br /> ° 4 T OD <br /> Z � 1/ G# (13 <br /> — — — <br /> m <br /> • 14 . <br /> N 72°57'40" W <br /> Slam Smack men I <br /> 33' 33' j <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 /> frA( StuddzoleifTlfed <br /> OcL 1>r Dui <br /> SIGN. UF : '1, er/Agent <br /> , 1 . <br /> V <br />