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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 /> • • Rear <br /> r Setback <br /> /#'if.J #// /� 1 area <br /> 10 Feet <br /> F 1— <br /> co Needs a W <br /> Location % N <br /> Q I w � , Survey 9A4_Setback <br /> \ s Line >. <br /> 0 :.• <br /> 169.8 <br /> p Proposed J O <br /> N O <br /> Addition <br /> CC 0 35. _ %j� CNI <br /> ti — _ _ co <br /> 1 Z CD <br /> — —Fr llli�� 'J�1G1/�1 1/ll/'l1/ll/l/. <br /> • r • <br /> 1 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 ' revoked in writing by the owner of the property. <br /> PRINT: Owner DATE: <br /> -rd <br /> 6 Z le?2,1 _ 5 —2 ? -- %f" <br /> SIGNATURE: Ow• gent <br />