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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 /> • tI <br /> I 1 Rear <br /> ii /%% ��% Setback <br /> r .4�Me,�� // area <br /> O . 0 <br /> O <br /> 10 Feet F T- <br /> Q co Needs a // <br /> Location / W <br /> Q W / -== === y <br /> ' Survey Setback LP <br /> O ' Line <br /> O Proposed 169.8' I- c0 <br /> _/ N 0 Addition O <br /> if ri o 35.0 = 17- io <br /> r■-• — — _4_ iv N co <br /> ,.. <br /> I z `� <br /> ,.. ., ..# ff,a4• r <br /> Side Setback area N 72°57'40" W <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 /> h4f( J bte.n CG'-( J.)ty Z.ti, /..c <br /> SIGNATURE: Owner/Agent <br /> V" --n()24 <br />