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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 <br /> I <br /> • Front Setback area S 72°57' 40" E 254.01' r Side Setback area • <br /> 1 Rear <br /> D , iiiiiiiiiii%/ii%ii%/// <br /> area <br /> tbback <br /> o <br /> 10 Feet 1— ; <br /> QNeedsa W <br /> CO <br /> Location ta <br /> Q w W <br /> w �' <br /> Survey ` e Setback W ■ <br /> U) ' i 169.8' ~line } <br /> O O Proposed Y- pp <br /> N O Addition / ri O <br /> CC cv 35. _ ' m io <br /> O (% N <br /> Z ci) <br /> - — —��� (/11�!!/..�/� t �'JGG%GLGIl/ill/!1/!!/!! J <br /> M <br /> • r • <br /> 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: Owner/Agent DATE: <br /> /CA-0_.0 h C.0...4-8-CL_ FBI( ..k l' 3j 1 7 1S— <br /> SIGNATURE: Owner/Agent <br /> cirfrcoQ (- ifiA.m.i. <br /> Lokiuw ik2.-()---1-21 <br />