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A location survey, by a licensed surveyor, is required . . . <br /> ' If your construction is within 10 feet of a setback line you will need to hire a surveyor to prepare a location survey to <br /> 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 significantly to your project. Please contact a Licensed Surveyor. <br /> you may need this . . . <br /> 33' 33' I <br /> I <br /> Front Setback S 72°57'40" E 254.01' —Side Setback <br /> 1 Rear <br /> .. r ,,, ,, ,„ <br /> Fold 1— T- <br /> M �� Needs a 10 Fe�. / W <br /> Location / W <br /> Q w Survey g <br /> 0 ✓� D 11 .A./ `r 169.8' co <br /> CC CJ / O Propposed <br /> �� Addgion J O <br /> C % 7 1 co <br /> C N <br /> r o <br /> Z iffjjmr, J <br /> • N 72°57'40" W <br /> Isae setback I <br /> 33' 33' <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 the <br /> conditions of this permit and will construct the project in compliance with those conditions. I understand that failure to <br /> comply with any provisions of the permit renders it null and void and may result in an 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 /> L, SSU— k-e_,1---i - - -a,1,* S■e ><- -1- 1 - 01 <br /> ti <br /> SIGNATURE: Owner/Agent <br /> 4 Q,3>(-C- pokt, L. <br />