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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 /> rFront Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • �7�7 /�/�/�/�y 1I Rear <br /> O 1 v/// �///,,,/// /i%% � Setback <br /> {rte// ///// area <br /> O f et O <br /> 10 Feet F- <br /> Needs a p4_Setback <br /> /Location Survey Q <br /> Proposed ���'/� 16'9.8' Line F Cp <br /> iv / Q Addition <br /> iv 35. j = • i• D <br /> (% N <br /> j <br /> _JGff'L!<‘'XGGJGGUGGU[G'/tLC�l1�11�11.11GG1 / M <br /> • <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 /> Hawkin Zukowski 06/25/15 <br /> SIGNATURE: Owner/Agent <br />