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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' I I <br /> I I <br /> Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> • F.1 <br /> ' <br /> Rear <br /> c p /I.t #0 1 Set back <br /> ck <br /> are <br /> c o <br /> 1 10 Feet F I— <br /> I— <br /> ..___. Needs a W co <br /> ,. / 1.1.1M■■■ Location Ø... setback <br /> I Survey O e Line <br /> O Proposed 169.8' F GO <br /> N 0 Addition O <br /> 35.0 _ ' N <br /> N. - - 4_0 CO <br /> - - "ffr#7/ ff ff ,,a4 Cn <br /> • r 4 <br /> ( Side Setback area N 72°57'40" W <br /> I <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 /> ze,A- y/)-e 4 C/k:.e - <br /> SIGNA"jar{TURE: Owner/Agent <br /> atia---,_ <br />