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4 <br /> 1 <br /> I 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 /> j <br /> you may need this if . . . <br /> 33' 33' I <br /> v—Front Setback area S 72°57' 40" E 254.01' t--Side Setback area <br /> • _ ill Rear <br /> - lir 1/i/ 1#*%"..%/- 1 <br /> Setback <br /> area <br /> b in <br /> 'Nt <br /> M 10 Fee! F e- <br /> a <br /> Q / Needs a 1 w e- <br /> z <br /> Location W <br /> Q ( w 1LLI <br /> \� Survey Setback Q <br /> O c 169.8' �� Lina <br /> Proposed ,- co <br /> iCC N Q Addition 7, C <br /> is4 35. _ % P. <br /> io <br /> ° N N <br /> c. <br /> Z /� %j� co <br /> r <br /> co) JAI <br /> • r <br /> Side Setback area N 72°57' 40" W <br /> 33' 33' <br /> I <br /> 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. 1 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/Agents DATE: <br /> / 0 -eitt 4-elSoi? 6/3/21 <br /> SIGNATURE: Owner/Agent <br />