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i . <br /> 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 I <br /> Front Setback S 72°57'40" E 254.01' <br /> Side Setback <br /> • 1 <br /> I - <br /> Rear <br /> 6 r /,‘, #' 1 Setback <br /> • Needs a 10 Feet / IT.' <br /> 01 <br /> 0 <br /> !MM.! Location Q I w ' 1 N Survey CL ^ li 169.8' /O p = Proposed � 0 N 0 Addition <br /> CC N 3� 2 a <br /> O N <br /> Z /1C/!1/1!/1!/11�GC(GLUGGC/J A . <br /> _.16* LC/LGY/� <br /> • F.+ <br /> Side Setback 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 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 /> D‘--ti'it/15 ilivrk 1,4 >) - c,21- OF <br /> SIGNA RE: Owner/Agent 7 <br />