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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 <br /> • Rear <br /> '� ,��������///// � ,. Setback <br /> G ji%%��I� /iiiiiiii%/ii%/ii%//� j/ area <br /> O / �%% <br /> % f O <br /> T- <br /> 10 <br /> 10 Feet M <br /> Q CO � Needs a _ z <br /> � Location W <br /> Q I w I ---- --- 2 Survey �' <br /> Setback W <br /> 0 / Line " <br /> N O Proposed t^'`� 169.8' F CO <br /> Addition /j O <br /> c 35. _ ' n Co <br /> Y% �j, i■J N <br /> CO <br /> Z T <br /> co_ _ _ <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/Age t DATE: <br /> Gre._ <br /> c) CkCiA. //— / <br /> _ <br /> SIGNATURE: Owner/Agent — <br /> _±1161,6._ <br />