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A location survey,, b 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 /> r ■ <br /> you may need this if . . . <br /> 33' 33' <br /> I <br /> • Front Setback area S 72°57' 40" E 254.01' r Side Setback area • <br /> Rear Setback <br /> r , .,..,„,,,,, area <br /> 1 <br /> 1— 10 Feet / ►- r <br /> Q -- Needs a <br /> z <br /> •••••••• Location / W <br /> Qw • _-- _-_ Survey Setback W <br /> 0 s Line <br /> O ' Proposed ~ 169.8 F CO <br /> N O Addition J O <br /> 0 �35. _ is <br /> e4 N <br /> Z —0--— ��/ /// O <br /> 0-14 410— <br /> Side Setback area <br /> 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 /> n <br /> PRINT: r/Agent DATE: —1-(----/ <br /> SIGN TURE: Owner/A.-nt ff <br /> X b/L1-7-/ue- F/4-P,teie <br />