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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 /> Front Setback area S 7,2°57'40" E 254.01' r Side Setback area <br /> • 1I • Rear <br /> 1 Setback <br /> r 1x-��������/j///�iii%�iii�iii%�ii%/ii�i%�% <br /> co 0 Needs a 10 Feet w r <br /> Location W <br /> Q I w G , U) Survey Setback Q > • <br /> V \ 169.8' /~Line } <br /> O p � = Proposed /� <br /> Addition n. 0 <br /> CC N 35. S % D is <br /> co <br /> D (� %� iv N co <br /> 1 z _Fr #.:eJ JAci <br /> _ _ r . <br /> I Side Setback area N 72° • <br /> 57'40" W <br /> I <br /> 33' 33' I 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: <br /> Ail . m 41;54,/� <br /> SIGNATURE: Ow•• • •ent <br />