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a <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 <br /> I I <br /> Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> • 1 I • Rear <br /> w i a etaack Se <br /> [rte// <br /> 0 O <br /> 10 Feet t` <br /> Mr <br /> V Needs a / W <br /> Location / y <br /> Q I w I Survey %j� Setback W <br /> O _ 4 > ^ 169.8' Line F <br /> p Proposed J O <br /> N �% O <br /> Addition <br /> CC o 35. x/ = = co <br /> f, _ _ _g_O � N <br /> co <br /> r <br /> 1 z <br /> . r • <br /> 1 Side Setback area N 72°57' 40" W 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 /> �} E L r Ko w t c MPQ c, 7/, 2 0 / <br /> SIG`TU E: ner/Agen`� r t <br />