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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' <br /> I I <br /> • Front Setback area S 72°57' 40" E 254.01' r Side Setback area • <br /> I _ 1 Rear <br /> pir,,,,„ „, area <br /> . o <br /> 10 Feet F- M <br /> CI <br /> Needs a W <br /> a a- <br /> Location W <br /> Q ' W ' N Survey (__Setback W <br /> ' Line <br /> O o Proposed ti 169.8 ao <br /> Et N Q Addition / J p <br /> 0 35. � N ZO <br /> f... _ - _a_1 z C = N <br /> r en-co <br /> _ _fre�lltLG�LGA GYJGG%LG%z'(!�'ll�ll��GGlGGlJ <br /> M <br /> • r • <br /> Side setback area N 72°57'40" W <br /> 33' 33' 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 /> S tiva,r-- l t we d- Ci i Bo i f u), M Q,4vd - 12- 1 2-0 IS <br /> SIGN RE: Own . nt <br /> e/%w ii 1 A 91' A <br /> II • <br />