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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 $ 72°57'40" E 254.01' Side Setback area <br /> • - Rear <br /> O P/// . , ,.„/,„ �i� � �� �/� Setback <br /> fU/ Y/ ////// area <br /> O O <br /> T 1 V' tD F %%% <br /> 0 co <br /> Needs a bet I <br /> Location �' / <br /> QI W I N < Survey ;, ��% Setback <br /> 0 p D Proposed\Z t�►�,^ 169.8' Line 0 <br /> N O Addition %� O <br /> Ce N 35.0 Z t <br /> ish V <br /> � F%�Z <br /> — jiff C �i��ff+<�f��GL/���(/� i�LL��LL�LL!�i'L�i�(! <br /> •I ”'°57 40 W <br /> Side Setback area N 72° I <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/Agent DATE: <br /> 50".. /dare. y/ , <br /> SIGNATURE: Owner/Ag <br />