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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 igt; <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> • <br /> I y Rear <br /> 1 ,-„,, � i Setback <br /> area <br /> i <br /> O . O <br /> N- 10 Feet I- M <br /> O � _..__.._ Needs a a <br /> Location j W <br /> % I w I 0 Survey Setback w <br /> e Line <br /> O 0 Proposed 169.8 <br /> Ce N Q Addition O <br /> N 35., _ is <br /> O _ N <br /> O ri N co <br /> I Z fra".4 CO <br /> _ _ ' ffiSSfi'iSSFi'SSSS SS ig <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: Owner/Agent DATE: <br /> -rT�e 3-6(\d°4 6-6 - I <br /> SIGNATURE: O er/Agent Xact,t_47/..._ <br /> c <br />