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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 /> I I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • - Rear <br /> o //// ///////��ii%iii%%ii%iii%%ii%ii%/�� 1 Setback <br /> area <br /> O <br /> r �% 10 Feet co co <br /> 01 O � Needs a I W <br /> eeee:eeee Location / W <br /> Q w cn Survey ~Setback Q <br /> O - f /j Line W <br /> c ' Proposed 169.8' <br /> F- °0 <br /> CC N Q Addition ' <br /> N 35. = j% z is <br /> � N <br /> O <br /> 1 Z %%� r co <br /> - -w.„ JLGC/[GC/[LU111�!l�11�1lGLCJ <br /> • r <br /> I 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: ownedAgnnt irj--"k 1-�d DATE: l ,--- C 5-‘2_,e__-_Jo..-ca <br /> SIG 11'E: owner/ g <br />