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♦• w <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' I I <br /> I I F Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • Rear <br /> '/,i /////%i ii,ii, � �i./�/� 1 Setback <br /> ° o <br /> 0 <br /> 10 Feet t- <br /> 0 Needs a W <br /> co Z <br /> eeee:eeee LocatioVn Ø*....Sethack <br /> Surve! <br /> (.2 <br /> Ob Proposed 169.8' Line 6 <br /> Ce N I Addition J O <br /> iv 35. /� I iv " <br /> O _d N iv it. t� <br /> _ _ �� o A i <br /> co <br /> - - _r)i71��1 ��,JGGIG�j000Lll�ll/!1/11/1!) <br /> M <br /> • N 72°57'40" W • <br /> ISide Setback area <br /> 33' 33' I <br /> 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 /> Ma r- L SIGNATU : Owner/A nt J J <br />