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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: Alocation survey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . ,. ` i <br /> 33' 33' I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> 1 Setback <br /> IF/ -,f// .,Z/'o o <br /> o <br /> N"' 10 Feet Z co <br /> O M Needs a W <br /> ....,.... Location / z <br /> Q I w , / I N Survey " / setback W <br /> 0 -/ A,�" 169.8' Line <br /> '`---� Proposed c <br /> N O <br /> Ce Addition <br /> iv 35. �j / ' m CO <br /> CNI <br /> Q N <br /> •- O <br /> Z :LC /.sue! L.f[[LLULLL1L/LCL�L1y''ll�11�C1f A c <br /> ▪ Side Setback area N 72°57'40" W 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 <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 /> I EC)0 4 0 -2:7-0 8 <br /> SIGNATURE: Owner/Agent <br /> QQA,,k( O <br />