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V <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 /> 33' 33' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> � _ F • Rear <br /> D 1 Setback <br /> '/,iiii //////%� � � � �� i area <br /> 0 <br /> to Feet / F N- <br /> CO � Needs a Z "' <br /> 0 eeee�eeee Location u <br /> Qw Survey� p4_Setback r Line <br /> 0 o / Proposed ` ! ^� 169.8' 1- 00 <br /> CCN O Addition ] O <br /> 0 35. �� _ %� ZS) <br /> O _d r N <br /> 0 0 <br /> co <br /> w.. <br /> I 2 <br /> _ _ _r. ,-/ gteJ .J.A . <br /> cr, <br /> • r ., <br /> I Side Setback area <br /> 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 DATE: <br /> MG`4,-ter re, 613-7/1 6 <br /> SIGNATURE: Owner/Agent <br />