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. <br /> 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 I I <br /> S 72°57' 40" E 254.01' Side Setback area • <br /> Front Setback area <br /> • w Rear <br /> r 1 Setback <br /> ��� ���/ 4 area <br /> • O <br /> 0. <br /> 10 Feet / I"- M <br /> Needs a w <br /> M g <br /> Location W <br /> W Survey ~Setback W <br /> <1.% I w N 169.8' Line } <br /> I— co <br /> C � O Proposed .� O <br /> CC N Addition <br /> 0 35. i� _ / ' N is, <br /> F„... _ — — I 0. <br /> Z CO <br /> _ _ -rll '15 1 e# J A <br /> M <br /> • r • <br /> 1 Side Setback area N • <br /> 72° 57' 40" W <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 /> DATE: <br /> PRINT: Owner/Agent �I <br /> ,( 3-okr) �c.fer \ 1A)0 _ 1 `-1 <br /> SIGN URE: Owner/Agent nn <br />