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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 <br /> Front Setback area S 72°57'40" E 254.01' f—Side Setback area <br /> I <br /> i • il{ <br /> ^ Rear <br /> / ! / ��� Setback <br /> area <br /> O �� O <br /> � � \� � 10 Feet � 7 <br /> O `''' s Needs a` W <br /> •••••••• Location W <br /> Q w � 1 cn LLI <br /> Survey ..:.. ,^^_Setback w <br /> t_w ^N` 169.8' Line <br /> 0 N � Proposed F CO <br /> 0 Addition J O <br /> Cr iv <br /> 35.0 I ^— — _g_ N N <br /> o <br /> N.,_ r co <br /> Z __,WF .4r U VJ. _ <br /> • r <br /> 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 earlier revoked in writing by the owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> (-0 V-(ji L V-E Ur-2_ 6(2/Ls-- <br /> SIGNATURE: Owner/Agent <br /> . S---?j4‘ <br />