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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 /> • 1111 Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> Rear <br /> r /W-. .#*//X /�� I Setback <br /> // <br /> C O <br /> I <br /> Q "' Needs a Fee` Z <br /> Location //%� W T <br /> Q w C/ a W Survey ' <br /> Nj 0 y 4.Sinteack W <br /> o Ll�.AN 169.8' T <br /> O 0 Proposed <br /> N Addition J O <br /> CC iN 35. % 2 _ <br /> o co <br /> o % �j, iv N <br /> CO <br /> Z I- <br /> N <br /> _ _//7 g oecG�jJGL G/1/ <br /> cr, <br /> 6 r <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' 1 <br /> J <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 /> Brian Carlson 08/12/15 <br /> SIGNATUR edAgent <br />