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(_ "-� <br /> A location survey, by a licensed §urveyor, 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 imay need yjhis if .r : {`K_ <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> 1 Setback <br /> r `/"7„„/////��iii /.% i% i% ii%/�� 1 area <br /> O <br /> O �� CO <br /> ✓ 10 Feet 1... O c- <br /> ® r Needs a w <br /> !!!EIeee • Location % W <br /> ' Survey � Setback w <br /> / Line O ] Proposed 169.8' 00 <br /> N v Q Addlpon .3 O <br /> CC <br /> iv 35.0 _ % m m <br /> G� N N <br /> O G r O <br /> CO <br /> ✓ P <br /> PK <si�FG Gf«LLLVLL'!!L[L/�'l[�ll�ll�Lltll#4 <br /> co <br /> 0 <br /> � Side Setback area N 72°57'40” W <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 /> 0 i /1 A7/4 7---a?‘--7:‘-. <br /> SIGNATURE: Owner/Agent • <br /> ,�//�� <br />