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1 <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 /> • /77)/777/777/7T� TTTTIIT1 <br /> 04._Setback Rear <br /> D „ 1 Set back <br /> ck <br /> are <br /> O C O 10 Feet / M M Needs a.... ... Location Survey W <br /> cn Od ' Proposed 169.8' <br /> CC <br /> N Q Addition O <br /> c35. im N co <br /> g• _ _ _0_ ,-- c:, <br /> 03 <br /> I Z jisiff 4ej <br /> Jidi u) <br /> • r • <br /> 1 Side Setback area <br /> N 72°57'40" W <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 <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/ ent DATE: <br /> jetv4A, cli;CLI <br /> GI Dec 06 <br /> SIGNATURE. Owner/Agent <br />