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• <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 /> t <br /> you may need this if ; f a <br /> 33' 33' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> 0 Rear <br /> // //#if #Z/Z 1 <br /> Setback <br /> area <br /> O / O <br /> O <br /> r- 10 Feet F.. T <br /> CI M Needs a w <br /> T % <br /> Location LU <br /> Q W <br /> LU , Survey 04_Line 169.8'p . D Proposed_J N Q Addition J O <br /> n co <br /> O �� N ° <br /> t` — — —F5� A� 00 <br /> Z co <br /> — — _ ¢ l/ll��i_G1GYG1/GLG1/�G�/� <br /> • r <br /> 1 Side Setback area N 72°57'40" W I <br /> 33' 33' 1 <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 /> MI () /t7/14',e ii 0 <br /> SIGNATU E: Owner/Agent _ <br /> , ....-1--d7i.--(4.(_______ <br />