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A location survey, by a license surveyor, is required if your construction <br /> is within 10 feet of a setback lin . <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 o your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . . . <br /> 33' 33' I <br /> I <br /> lFront Setback area S 72°57'40" E 254.01' 1—Side Setback area <br /> i Rear <br /> - <br /> °/Jjf ;%/��,������//////% Setback <br /> �// area <br /> r� i <br /> O. <br /> M 10 Feet t— co <br /> Needs a <br /> 0 I- <br /> �� .••e.,,•e Location <br /> Øi_ ien <br /> W `� <br /> OQ w g, ' ��S�U,IVM @y^,�' Stback iQ 3 <br /> b �% Proposed " �" v 169.8' e } w <br /> et 0 Addition O <br /> iv 35.'IL% Z � <br /> O %!' co <br /> I a N <br /> ,_ <br /> r co <br /> co <br /> _ _ QiF 11 [CC/JLLI/ JA <br /> i r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' <br /> 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 t e permitted premises by zoning inspectors of the Dane County <br /> Department of Planning&Development to determin compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance of thi zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by the wner of the property. <br /> PRINT: Owner/Agent DATE: <br /> i �s . IN 4lc el rit --TIctiis <br /> SIGNATURE: 0 er/ t . 11, — <br />