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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' Side Setback area <br /> • .. // /// Rear <br /> O <br /> r ! //A`/ 'A`// iiii��% a etaack <br /> M 10 Feet / F- m <br /> 0 -..-__._-- Needs a W <br /> •e•••••• Location <br /> / w <br /> Q I W I 0 - -- --- Survey Setback W <br /> 0 o / = Proposed 169.8' Line <br /> _/ N Q Addition J O <br /> CC 0 35. � is_ 4_— N CV <br /> O ac, <br /> ... <br /> 1 z <br /> _ _ --S%5kss�/iss�/isSl/ ff ss�/iss�/iss�/issS/iSSS►i/iss5/ .,a4 CI) <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I <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 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 /> 7 <br /> gr-Q 14,k1,, -) _ 13. ir <br /> SIGNATURE: Owner/Ag7 ' ,, <br />