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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback lin • . <br /> • You will need to hire a surveyor to prepare a loc. ion survey to verify the construction location. <br /> • The survey shall be done at the time when foun•ations 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 o your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> r ■ <br /> you may need this if . . . <br /> 33' 33' I I <br /> I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • <br /> r /J /� /� /� J� Rear Setback <br /> area <br /> G <br /> Y� 10 Feet �— <br /> r <br /> 0 4 Needs a W <br /> M !!!!'!!! Location <br /> Q I Survey 4 Setback W <br /> W I Survey �j w <br /> O r Line <br /> O ] Proposed 169.8' %� F- CO_d_re N 0 Addition J O <br /> iv 35. I j�� m io <br /> O � /I� N <br /> r %Oi N <br /> r <br /> T. <br /> Z ��iiirJ�/ '4 Ji�(/�i�L/J��L/�LL i�fl�i�(J�i�L/J ff 3 y <br /> • Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <br /> 1. I,the undersigned, hereby make application for a •oning permit only for the location and the work described herein and <br /> certify to the accuracy of that information. I further -rtify I am the property owner, or a duly authorized representative, <br /> and may sign this permit application on behalf oft e owner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct the U roject in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with an 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 he permitted premises by zoning inspectors of the Dane County <br /> Department of Planning&Development to determi e compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance oft is zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by th owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> SIGN,, - .: Owit j A nt(i <br /> �:1 r 7-1 <br />