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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 /> 1r Rear <br /> i%% �✓ Setback <br /> 1���.������l���j�/�/// area IP <br /> I O YYY / <br /> 10 Feet I— r <br /> Q � ..--_._-- Needs a W co <br /> Location w <br /> w / LU <br /> O I w Survey Setback w <br /> s Line <br /> O = Proposed 169.8' 00 <br /> N 0 Addition J O <br /> et iv 35. _ is <br /> O ■ � � � r <br /> iN <br /> N OD <br /> OD <br /> I Z <br /> _ _ Sliag0/ ff ig#A U) <br /> • p1 • <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: Owner/Agent DATE: <br /> 6c6einy &;1d,i Cog (' , . -Z- I6 <br /> SIGNATU : OQwner/Agent <br /> 4- ).A67 _ <br /> - -44V_./11. <br />