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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' I I <br /> I I <br /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area t <br /> Rear <br /> �jj� %/�j %/ %/�] 1 are <br /> taack <br /> O rY// O <br /> O <br /> r f 10 Feel F r <br /> M Needs a .zz r, <br /> a <br /> eeee:�eee Location <br /> Q W w <br /> cli <br /> w 1 Survey Setback W <br /> O rr r / <br /> Line <br /> O 4 Proposed 169.8' /� F <br /> N 64 Q Addition / - O <br /> IX <br /> i�l 35.0 _ n CD <br /> r-- _ _ _g_ / N CO <br /> I Z <br /> — <br /> 311,J#Ar&JLl/[l1ll !! l1GllGlJ <br /> co <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' 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: 1 g - / - I Lf <br /> il-ryk. V0 (Ito/ta,n ir---SIGNATURE: Owned, --mot <br /> It' /. .------------■---__ <br />