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f <br /> • <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 <br /> • Front Setback area S 72°57' 40" E 254.01'' r Side Setback area • <br /> 1�� 11 Rear <br /> rr,,,////#, #_.//,%%ii ii7i7 i %//�� - Setback <br /> rY// area <br /> O • O <br /> O 4 • 10 Feet F r- <br /> Q ee co <br /> Needs a W <br /> eeeeee Location Ø4....Setback <br /> W <br /> Qw 1 N Survey O Proposed 169.8 0 Addition ,j O <br /> o 35. �� � io 0 <br /> co <br /> I z O _�/ N <br /> _ <br /> sop�ll� .��i .'�.YJGG%zG%zG%z'll/'l!/!!/!!/!/J <br /> M <br /> • Side Setback area 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 <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: Owneer/Agent d DATE: <br /> Ziq ei— i' r0,1 ',T.' " oe <br /> SIG NATURE: Owner/Agent <br /> AleGZ/t) 6-ell <br /> /7/ <br />