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Rug 27 08 01 : 37p Elgin Mtso 8472888630 p. 4 <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 /> Front seti.a S 72°57'40" E 254.01' side setback <br /> Setback <br /> °��ill//%/ �������r��i�i�l�i//�� i�/i �l//�j <br /> tr � 10 Feat �l, F m <br /> 0 � Needs a � W <br /> .'.,,.,. Location <br /> W u) r Survey a 3 <br /> lid ; i <br /> 169.8' %` to <br /> re N 0j <br /> . <br /> Lv4r4vA <br /> Alai in <br /> Side Setback N 72°57'40" W <br /> 33' 33' I i <br /> \ / <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 /> PRINT Owner/Agent - DATE: <br /> A4. Si 08-0 8017- 0ig <br /> SIGNr RE Owner gent — _ <br />