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al <br /> • <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 /> 1 I <br /> Front Setback S 72°57'40" E 254.01' r Side Setback • <br /> 4 177r /.v. # .,/ , Rear <br /> f Setback <br /> 0. <br /> M Needs a 10 Feet / f <br /> Q <br /> Q � Location / <br /> Survey W rx <br /> w W <br /> N <br /> 0 C N 0 0 0 Proposed d <br /> Addition 169.8' i- be <br /> J O <br /> 1 CM _ ' CO <br /> Co:) N <br /> .- CO <br /> Z _ //JJ#:,13 11 sllll�l1/'1!<LIIGLC/LLUJ I co <br /> Co r • <br /> • N • <br /> 72°57'40" W <br /> 1 Side Setback 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 /> DATE: <br /> PRINT: Owner/Agent <br /> ALA NEogALD 09/0 ii d8 <br /> SIGNATURE: w rlAgent <br />