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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 /> 1 1 <br /> Front Setback area S 72°57'40" E 254.01' I Side Setback area i <br /> • <br /> 1 • Rear <br /> Pr c� ����������� �� �i���i���i���i��i�� ��rc I Setback <br /> !// i////// Y�/y i area <br /> O . C <br /> O <br /> 1— <br /> co -- - Needs a 10 Feet w <br /> 0 •■•■•••• Location j W 1. <br /> Q 1 w 0 I N !MAIM Survey .Setback W <br /> O 169.8' tine >- <br /> O Proposed 1- Co <br /> N 0 Addition co <br /> IX <br /> N 35.0 _ N <br /> N- — — 4._0 <br /> CO <br /> 1 j ff ff#4• r T <br /> Side Setback area N 72°57'40" W <br /> 33' 33' 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. 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 /> /4Ati KIIIErIAIN /fl-ay iV <br /> SIGNATURE: Owner/Age <br /> Z. . -'-Z/V__—' ' <br />