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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 /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> • // / Rear <br /> r/7 ''//A` //A�///i/////�iii��iii��iii��iii��iii�iiii%%� 1 Setback <br /> area <br /> :i <br /> O 1 O <br /> O <br /> C / r <br /> Needs a 10 Feet w <br /> � em! Location Ø4. .setback <br /> W <br /> QW , ____..\ Survey \ 169.8' Line <br /> 0 O Proposed >F- 00 <br /> _I N Q Addition O <br /> If li/ 35. 2 is <br /> O <br /> _, <br /> ° N N <br /> e- <br /> — --JYS'.^.YS'YIS�fYiS�► `• i��YYiS�/YiS�/YiS�YYiS�fYiS�►YiS/s`/fS�f'iS�YY 4 <br /> • r <br /> Side Setback area N 72° 57' 40" W <br /> 33' 33' <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 /> C HR.-LS 01 Il.4,C0.- l "2,3 - I S <br /> SIGNATURE: Own gent <br /> gd <br />