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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 <br /> Front Setback area S 72° 57' 40" E 254.01' /—Side Setback area <br /> • Rear <br /> 7� 1 Setback <br /> O �i , ,#7#—. . 3.o/�ii / i ii area <br /> i!i�% 7 i cr <br /> O �A1 0 <br /> / 1 r 1\ t� 10 Feet h- <br /> � Needs a %% W <br /> ® Location <br /> W <br /> Qw 1 Survey ~Setback W <br /> O O 4 ?--1,---)./"..',7 169.8' <br /> Proposed Line <br /> c0 <br /> N Q Addition J O <br /> iv 35. = j D CO <br /> O � � N <br /> r' — — —Y� S' Ai' co <br /> T 1/am j� / r <br /> • r • <br /> Side Setback area N 72°57' 40" W <br /> I <br /> 33' 33' I <br /> _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: Qy 3 .r/Agent DATE: i <br /> 1 ��'),"S2. _ 12- — I 0 I`4 <br /> SIGNATURE: OM:M7/Agent <br /> 1 J <br />