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di <br /> • <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 /> yourray need,this If ,-,,,.:--,;w:.:,;.;-4,--,-.,----: <br /> r. _. e_. may,,. ._ .r7. ';5.4zo_J - <br /> 33' 33' I <br /> If <br /> Front Setback area S 72°57'.40" E 254.01' r Side Setback area <br /> 0 <br /> , Rear <br /> Setback <br /> ir /iii/.7.# Z//%i.�i, 1 area <br /> O <br /> O <br /> %% T" <br /> 10 Feet f- (o <br />, 01 T / Needs a // W r <br /> !UUV:V!! Location W <br /> W ' c Survey Øf_sethack,169.8� ] Proosed Q� _ D io <br /> O N N <br /> o r o <br /> P <br /> , . <br /> _ _ -_�� C��'l!/ #4. tn to <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 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 /> M- )t g 4 / P <br /> SIGNATUR . owner/Agent <br /> 41J • <br /> • <br />