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1 <br /> I <br /> A location survey, by a licensed surveyor, is required if your construction <br /> i$ within 10 feet of a setback line. <br /> •i 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 /> •I 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 /> I I <br /> Front Setback area S 72°57'40" E 254.01' 1 Side Setback area <br /> I • , <br /> ., Rear <br /> ri ;17.Z Z . �� <br /> 1 <br /> Setback <br /> area <br /> G Ztr <br /> 1 O % O <br /> 0 c0 <br /> Needs ,o Fitt % r co <br /> \ W <br /> ____im! >Location <br /> W <br /> Q I w 1 / SuN @Y % �Sttback W s <br /> 169.8' Lina Co r. <br /> 1 0 r. ' Proposed <br /> N Q Addition %� ..' O <br /> N 35. I Zip <br /> O —��� N <br /> 1 z o _ _ co <br /> , rie7 4rJ JA <br /> o <br /> co <br /> r <br /> , • r • <br /> I Side Setback area <br /> N 72°57'40" W <br /> 33' 33' I I <br /> 1. l,'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 /> tQ 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 /> dompliance or until earlier revoked in writing by the owner of the property. <br /> P NT Owner/Agent DATE: <br /> ee( cu4 /4° _2Y- /7 <br /> SIGNATURE: Owner/Agent / <br /> lwna► - � <br />