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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' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> 0 <br /> Rear <br /> pr �i��� % % % � %� 1 Setback <br /> area <br /> �ze.���������j////// Setb. o <br /> O <br /> ,- 10 Feet I— r <br /> O � Needs a W <br /> Location / W <br /> Q W - -- --- y <br /> co Survey, Setback w <br /> 169.8' Line } <br /> O O ' Proposed H CO <br /> N O Addition n O <br /> IX a 35., _ is N <br /> O iv <br /> r co <br /> _ _ _Wia,#,0/ ff ,g—a4i co <br /> • r <br /> 1 Side Setback area N 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 /> PRINT One[/Agent DATE: <br /> I C°M 64"re -- M a, L '1 .., sec. I s 3- 5 _ ,2- 0 1S-- <br /> SIGNATURE: er/Agent <br /> /11-.1."- (t' <br /> 4*--...7 <br />