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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' <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area i <br /> I • ., I Rear <br /> O <br /> pr ��.�����������������i���i%%%/i%%ii%%i%%i%%j % + <br /> area <br /> ack <br /> O ' / O <br /> 10 Feet F- c <br /> r <br /> Q � - Needs a W <br /> co <br /> ■■••••■• Location j W <br /> QI w I 0 ---- --_ Survey Setback Q <br /> O / 169.8' Line <br /> > <br /> O Proposed F O <br /> CCN 0 Addition O <br /> a 35. � is,_ . <br /> O — _ � / N CO <br /> r..ffiaff/1- <br /> ... • #1 ig ,•at co <br /> • r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' <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 /> ciee/' J A/c - / /is- <br /> SIGNATURE:- wner/Agent <br />