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I <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' FSide Setback area <br /> I • .. • Rear <br /> iz • Setback <br /> / I.X././�� fr////// area <br /> ;•)"' <br /> Yj r <br /> Needs a", '�Feet �IL/ r <br /> !!ee�eee > Location / w <br /> Q w � 1 N < Survey N� �j�4_Setback W <br /> Ob D proposed "-�ti 169.8' 0 L:ne H'-Ce - <br /> C•4 <br /> / 0 Addition <br /> a O <br /> iv 3 5. _ M is <br /> iN C4 <br /> co, - . <br /> Aia <br /> Z _ _ _�� ll1�Ll.!!!,, J/[[L/sl1�11�!l�l1�L.JJ <br /> el• r <br /> 1 Sade Setback area N 72°57' 40" W <br /> 33' 33' 1 <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 /> °"—<% ,/J‘1„\ (9/817.61,1 <br /> 21 <br /> SIGNATURE: Qwner gent <br />