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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. 1 <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' r Side Setback area . <br /> • Rear <br /> O ''/// ��///i/////�iii��iii�iii�iii��iiiiiij��j Setback <br /> / I�, area <br /> O C � <br /> O <br /> / 10 Feet r' <br /> 0 "' � Needs a / Z "' <br /> W <br /> me me. Location <br /> Lu <br /> w , 0 Survey Q <br /> O � e / Line„Setback w <br /> r. <br /> O % Proposed 169.8 F}- CO <br /> N Q Addition <br /> CC -J O <br /> N 35. 2 1 io <br /> O N <br /> O N <br /> r-- _ _ _, - 0 <br /> co <br /> Z co <br /> -���!�/s��s� �• s�f/f�'lis��f/s�'l,�i��s�f/s�/s!!.!�%/ At <br /> • r <br /> Side Setback area N 72°57' 40" W <br /> 33' 33' <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 /> ( 6.y)//,� k 11 4. 23 -- / 5 <br /> SIGNATURE: Owner/Agent <br /> CRe—AS r Y t 1 1.-/-c-P-_____ <br />