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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 /> N <br /> you may need this if . . . <br /> 33' 33' ( I <br /> I <br /> Front Setback area S 72°57' 40" E 254.01' r de Srr'back wee tio <br /> • • t Rear <br /> 1 area <br /> p rr• t7 <br /> O r�. iii." J`/ O <br /> CO �; is Needs a ,o Feel w T. <br /> r <br /> .�t. C : Location / W <br /> Qw 1 u) Survey �'—Setback C:23 <br /> 0 o %%/� Proposed 169.8 / o0 <br /> CV 0 Addition 7a 0 <br /> CC CV 35. = %/� io <br /> ?••• — — ....A., <br /> p / N - <br /> r • <br /> Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' j I <br /> -f <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 /> ,p / � i / <br /> SIGNATURE: Owner/Agent <br />