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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 tine-project:-., .. _. .,., . __ <br /> • Note: A location survey may add significant cost to your project. Please contact a Wisconsin Licensed Land Surveyor.' <br /> — ). — <br /> you may need this if . . . <br /> t. <br /> 33' 33' <br /> I I <br /> Front Setback area S 72° 57' 40" E 254.01' r Side Setback area <br /> • <br /> 1 _ JJ�JJ1 Rear <br /> D , /iiii %/i ii%/� I Setback <br /> j ����������������� area <br /> O O <br /> O <br /> e 10 Feet / ►- <br /> O Needs a W <br /> �% •••■o__■ Location Ø4inteback <br /> Survey O O / ] Proposed 169.8'Addition J O <br /> CC iv 3 5. D i0 <br /> O 4 %_ N ° <br /> CO <br /> I Z � LJLJ <br /> / (,) <br /> _� M <br /> • r <br /> I Side Setback area N 72°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 /> .----I a:1'OA \f.' tc' i .'-a\ <br /> SIGNATURE: Owner/Agent <br /> Q6 <br /> Al kka) <br /> —Us)LO <br />