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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' F Side Setback area <br /> • r Rear <br /> I w are <br /> taack <br /> O YY // O <br /> O �% <br /> 10 Feet N- <br /> M Needs a W co <br /> 0 Location w <br /> % 1 <br /> w , N Survey Ø4_.Setback <br /> \ r Line } <br /> 0 - 169.8 <br /> p = Proposed J O Co <br /> cv 0 Addition <br /> CC N 35. _ % m <br /> o <br /> O / r O <br /> _ _ _• r • <br /> 1 Side Setback area N 72° • <br /> 57' 40" W 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: <br /> --.NO r'-T'. 7 ! /S.- -- <br /> sl - .*t /n 1.51 ' &VT/n <br />