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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' Side Setback area <br /> • <br /> _ Rear <br /> O j�1���������// 1 Setback <br /> � area <br /> O / O <br /> / \ <br /> Needs aL- 10 Feet <br /> W <br /> Location <br /> W <br /> Q I W , N , $UIVeY Øetback+ e O / = Proposed1� 169.8Et O Addition J O <br /> 35. m Co <br /> % isi N <br /> o coV <br /> Z — — —Eg`L '11�1!�L1a f�JG[V[L'!/�'LC/tLC�'L!/■ll�CCIGLCIJ / co <br /> M <br /> • N 72° 57' 40" W • <br /> 1 Side Setback area <br /> 33' 33' <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 /> fairwe A 04/3 ee 03/3//902 <br /> SIGN RE: Owner/Agent <br />