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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 /> I • y - Rear <br /> Y 1���������// //iii�iii��iii��iiiiiii���/ Setback <br /> �/, area <br /> O i 4 <br /> C II O <br /> 10 Feet co <br /> O `'' � ..____ Needs a / z a, <br /> Z <br /> W <br /> ••■•�•••• Location / m <br /> Q W <br /> w Survey, Setback Q co O N Proposed ^� 169.8' / Line F CO CC 0 Addition O <br /> Z., 35. % i• s <br /> O i� • N,.. <br /> I z ti — — o co <br /> co <br /> _ _ _riff#7/ ,# ff,A4 <br /> • r • <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> 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 /> Ob J . k\asst 31Z-7 //5— <br /> SIGNA�URG;_Qtnrner/AgenAt �\A� <br /> 0------ _ <br />