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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 /> -� <br /> you may need this if . . . <br /> 33' 33' I I <br /> I <br /> Front Setback area S 72°57'40" E 254.01' i_Side Setback area i <br /> Rear <br /> O 1 /������� Setback <br /> U// 1zz ����//// area <br /> YU/ t <br /> O � O <br /> �� <br /> 10 Feet �� F <br /> Q CO Needs a _ z "' <br /> > Location 2 <br /> Qw 1 ! Survey /�j Setback w <br /> t1�'`∎N" 169.8' Line > <br /> 0 O �� Proposed %�% F Co <br /> �y N O Addition J O <br /> li. iv 35. �� _ i• s <br /> — • N <br /> o <br /> co <br /> Z — - -i� //1!/1l�LLUGGU[U[LC/ / / G[U <br /> • r fSide Setback area N 72°57'40" W <br /> 33' 33' I <br /> 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/Agent DATE: <br /> ` <br /> " 1 Ch-17 4-15" iS <br /> SIGNATURE: wner/Agent <br /> at4a, <br />