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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 /> i <br /> you may need this if . . . <br /> i 33' I 33' I j <br /> I <br /> From Setback area S 72°57'40" E 254.01' 1 Side Setback area <br /> • <br /> - Rear <br /> i!��% Y/r,.# 17#17//ii��/%%%/%%/i!i / 1 Setback <br /> area <br /> O <br /> M �G// ' \�t� 10 Feet / t' (j <br /> CO Y . '"Needs a r\ ,..,� w t <br /> .••••••• '> Location r <br /> W ill <br /> Q W I < Survey _ �� Setback w 'S`s <br /> O N m Proposed Z Lv/`'�..7 169.8' Line <br /> �y O Addition J O <br /> Ii c 35. �% 7 is, cm <br /> O <br /> CO <br /> W /� jjj//j/////jjj/j//j// j/ r Z _ _ _ :L!/LL LLl[LULLLILL/LL/lC/LC/Ll/L�CLL!JAI <br /> co <br /> • r <br /> Side Setback area N 72°57'40" W <br /> { 33' 33' <br /> __..... _ I j <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 /> I SIGNATURE: Owner/Agent` "" _ <br />