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• ' <br /> 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 /> I I <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> Rear <br /> , „.„,,„„ , , ..,. a etaack <br /> r , O <br /> O <br /> ✓ 10 Feet M <br /> co Needs a / z <br /> Q / Location / y <br /> Q 1 W � I 0 Survey 0~-Setback w <br /> 169.8' / Line <br /> O p � Proposed ~ O <br /> N O Addition J O <br /> re N 35. _ ' N— _4_ isi <br /> o <br /> o co <br /> ti — <br /> . r • <br /> I Side Setback area N 72°57'40" W I <br /> 33' 33' 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 /> RINT: Owner/Agent DATE: <br /> y� , 61-.q—ic <br /> SIGNATURE: Owner ent <br /> (T 1 9, Leo Y11432(04) <br />