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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 thisif . . . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> if • <br /> Rear <br /> Pr. S/JJJ�J}l�jjJ�i JJJ <br /> etback <br /> �� //////"#// % area <br /> V. 10 Feet ��/ H r <br /> fl.) Needs a� //� W "' <br /> W eee•�eee � Location� % <br /> Q w � I ,L Survey ji 4.—Sinteack (.2 <br /> CO <br /> 0 O Proposed ��.�� 169.8' F co <br /> CC N / O Addition Z O <br /> iv 35.`j S = m <br /> o <br /> O, N <br /> CO <br /> _1ff ..,0,jJ JA <br /> _ _ <br /> co <br /> • N 72°57' <br /> • <br /> 40" W • <br /> Side Setback area <br /> 33' 33' <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 /> /144cra-N Fr e4 6-er, ,/3 olio r 5 <br /> SIGN 4#1.1;;: Owner/', <br /> 01t ._ <br /> .lii Atliff - _i <br /> W ipp" <br />