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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 /> 1 <br /> you may need this if . . <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> • _ Rear <br /> O r / Z(e.//�i �i �iiii ��� %J{ # Setback <br /> �� 10 Feet Z e— <br /> N <br /> Q � Needs a <br /> ___..___ Location <br /> Q w I w <br /> /_SUrveY //%yLSetback W <br /> ' �V�, 169.8' <br /> Ti Line <br /> O O / D Proposed Co <br /> N Q Addition %� O_ 0 <br /> co <br /> LL iv 35. % 2 co <br /> —� %� N,„ <br /> iir/1! �R<iCC��✓1�'GGJGG�[GC/L'll�ll�!!�!!.1lLG1LGJ <br /> • M <br /> Side Setback area N 72°57' 40" W <br /> 33' 33' <br /> J <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 /> SIGN - •��'�gent <br /> Agri, <br />