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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°5i7'40" E 254.01' Side Setback area <br /> • 1 I Rear Setback <br /> ir,,,,,/,.„, area <br /> ° I O <br /> r 1 . <br /> Needs a 10 Feet I i M <br /> !!!! !y Location <br /> W / IW <br /> Q w ' Survey �r--Setback Q <br /> 0 ` 169.8' Line I W <br /> N Proposed �� 16`9'8 I f" 00 <br /> Ct O Addition <br /> EN 35. _ %% io <br /> 0 _ _ _ I , N,c._ <br /> 1 z _JG I� ��'ll�G(l�Je[C/LLC/ei!/se!/s11�'!1�'lltLVJ i !n <br /> • r I <br /> ISide Setback area N 72°57'40" W <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: Owner/Agent DATE: <br /> ----1-- AV I ',''.- i" Lin.0C-.)---) [2-1 24/3 <br /> SIGNATURE: Owner/Agent '\ j <br />