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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 /> • <br /> you may need this if . . . <br /> 33' 33' <br /> I I <br /> • Front Setback area S 72°57' 40" E 254.01' F Side Setback area •I Rear <br /> �i� �iii��iii�i%%%i%%i% � <br /> area <br /> ack <br /> O <br /> r O <br /> O <br /> 10 Feet F- co co <br /> 0 - --_._-- Needs a W <br /> ■■•■�•■• Location <br /> / W <br /> 111 0 I --'- - - Survey Setback Cc <br /> it)/ 169.8' Line } <br /> O = • <br /> ProPosed F- CO <br /> N Q Addition J O <br /> CC iv 35. I p m <br /> O cV N <br /> F.- — — CO <br /> P <br /> I ffia,g 7/ ,# <br /> - - , „,d4g u) <br /> . r • <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' I 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/ enttJ l DATE: <br /> Fre 9 . iy--A.;--- <br /> SIGNATURE: 0 er/Agent <br /> Or <br /> i / V <br />