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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' r Side Setback area <br /> 1 • p - Rear <br /> # Setback <br /> area <br /> O / O <br /> co 10 Feet F- M <br /> 0 / _._ _ Needs a W <br /> ■!!! !!• Location W <br /> Qw I ---- --- Survey /Setback Q <br /> Line W <br /> O O � ' Proposed 169.8' / F CO <br /> N / O Addition p <br /> CC a 35.0 I <br /> O � = <br /> isi <br /> N CD <br /> 00 <br /> ,_ <br /> 1 z ��y�� ///g . <br /> _ _• N 72°57'40" W • <br /> 1 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 /> PRINT: Owner/Age <br /> gtiN <br /> DATE: <br /> 5 - . P6'--/c <br /> SIGNATURE: Owner/A ent <br /> °,-- -1 <br />