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R <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 /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> � ��� ��//// 1 <br /> Setback <br /> 10 Feet I- e- • <br /> co Needs a � W <br /> eeeeeeee' Location %�//' W <br /> Q w 1 Survey �_Setback w <br /> O - .`r, -"/ = Proposed AN"/— 169.8' Line oD <br /> _J <br /> N 0 Addition J O <br /> CC iv 35. �% is <br /> Z �� rn <br /> M <br /> • r � <br /> 1 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 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 /> S T 616 e,k_s 3 - 2s- 01 <br /> SIGNATURE: Owner/A ent <br /> _,.41,--Pf <br />