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W , i <br /> rt r 73 2" Parcti (--; 1-e <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 S72°57'40" E 254.01' 1 Side Setback area <br /> I • - Roar <br /> �r" ' <br /> . �������� i � area <br /> O <br /> O o <br /> r 10 Feet <br /> Needs W <br /> Location N <br /> < I W <br /> W N Survey Ø4_ ack w 169.8' Line <br /> N Q Addition =t <br /> O <br /> C: N 35.0 _ ►_ <br /> D <br /> � co <br /> '� N <br /> CO <br /> 2 %% r <br /> — _ .JGG/ .LLII#4,7 JLGC/LLV1�C/s110001LL!!<LCI. <br /> I Side Si:area <br /> N72°57'40" W <br /> 33' 33' <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 /> Ric hard (A)t p -eftcvLvAtA 3- /- / <br /> SIG ATURE: Owner/Agent <br /> W ‘�a� <br />