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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: 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' <br /> Front Setback area S 72°57'40" E 254.01' i Side Setback area <br /> I • Rear-r I „ //// / 1 Setback <br /> area <br /> O 4 <br /> O O <br /> r' 4 10 Feet I- j <br /> Q Needs a W <br /> !!!!!!!! Location <br /> Q W W <br /> W a <br /> O O � 1 Survey /i_Satbadc W <br /> ' Proposed � 169.8' Line } O <br /> N j Q Addition .:3 O <br /> IX iv 35. j% _ =is <br /> j <br /> O N� N <br /> o o_4_ <br /> co • <br /> ,_ <br /> 1 Z y <br /> M <br /> • r <br /> Side Setback area N 72°57'40" W <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 /> \ f I cka..1, 1 J OA - % 1 (q /‘Ct <br /> SIGNATURE: Owner/Agent <br /> V )41,4-A4- ) 47.....„....--' . <br />