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V <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 /> F <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> I • Rear <br /> X 777 %/%// Setback <br /> i l X„ //// /�� 1 area <br /> VU/j d <br /> r „� 70 Feet / F- . <br /> O Needs a W <br /> !MI!! Location <br /> /�, <br /> w <br /> w " -cli Q I / ' to Survey �4_Setback W 3 <br /> O o % Proposed 169.8' / L ne .03 <br /> N j 0 Addition O <br /> CC E4 35. % = m io <br /> o o ��� a N <br /> ts — — _,A._I Z <br /> co <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 /> /l'itc4Af/ c� L 1i - -2 - 3 dy <br /> SIGNATURE;, Owner/Agent ., <br /> • ,-1 70 71,/' .,( \- /- 7 <br /> "/ 1 — ‘ -"A-- ,_)((. (l_17), <br />