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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 /> Front Setback area S 72°57' 40" E 254.01' 1 Side Setback area <br /> I • Rear.,..„ .,..„,,, area O {Y// / O <br /> 10 Fee[ F M <br /> Q � ,._ _.___ Needs a W <br /> / ■•••■••• Location Øsetback <br /> I 0' I ::O � ] Proposed 169.8' Line >- O <br /> N / Q Addition .j O <br /> a 35. _ g is <br /> r- _ _ 4._o N <br /> co i_ <br /> 1 z <br /> srez/ ,g <br /> _ _ ,e.ai u) <br /> • <br /> 1 N 72°57'40" W • <br /> Side Setback area <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 /> ■ <br /> (PRINT Owner/Agent DATE: <br /> A_____ < `-U , 54(.0Q3,..,� � <br /> Owner/Age _ _ _ <br />