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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 /> I <br /> you may need this if . . . <br /> I 33' 33' I <br /> I <br /> I72° , " ' i Side Setback area <br /> • Rear <br /> r y .,.„,,, ,I Front Setback area S 72 57' 40" E 254.01 <br /> area <br /> ack <br /> 0 <br /> 0 <br /> 10 Feet / . co <br /> M Needs a Ø+_.setbac( <br /> W <br /> O __- Location a <br /> W <br /> Survey w <br /> Q I w / I Line ■ <br /> O 169.8' Z CO <br /> Proposed • p <br /> N = Addition <br /> CC N 35. i4• N <br /> Cg <br /> co <br /> Z to <br /> r • <br /> • N • <br /> 72°57'40" W <br /> Side Setback area I <br /> 33' 33' I I <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 /> 1/4--9 0 0 � (1- vv\ g - d J. /5 <br /> SIGNATURE: Owner/Agent <br /> aAbY44/ ` C. 11----- <br />