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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' I I <br /> I I <br /> • Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> 1 /JJ// /�� 1 Rear <br /> '/// I///////// // / l a etbback <br /> r 10 Feet F 00 <br /> CO Needs a / z "' <br /> O W � <br /> ' e•••,•••• � Location �� a <br /> CO Q w SUrVey Setback Q <br /> r / • Line <br /> O O � Proposed ^~ 169.8 �% i-- CO <br /> N 0 Addition O <br /> iv 35.`� _ %� z io co <br /> fr / N ,_ <br /> 1 z co <br /> _ _w G iii�cIffLIJCSL�s'L/LS'L/I'LL�'lL�ll��Cl:LLIJ ILC�IJ <br /> • r • <br /> Side Setback area N 72°57'40" W <br /> 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 /> PRINT: Owner/Agent DATE: (5-(�,rx-AGU-(I ?. (-1-eco. L- 6 - (6 ' 2,0 <br /> SIGNATURE: <br /> Owne Agent <br />