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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' <br /> Front Setback area S 72°57' 40" E 254.01' F Side Setback area <br /> I • �f/ Rear <br /> ^ �i� � % % �i%%i%% i. Setback <br /> /ii��ii���ii//������ area <br /> ED <br /> r 4 <br /> O C <br /> 10 Feet / I- <br /> Q / Needs a W <br /> ■■■■•■■■ Location / W <br /> Q I w I u, Survey �~Setback W <br /> O e / Line <br /> O � = Proposed 169.8' F- CO <br /> N Q Addition ] O <br /> Itit a 35. � I g is <br /> O N <br /> r-- _ _ _0_ O <br /> Z <br /> leilff%':-..,_, .,#' .g#4 <br /> co <br /> -• r <br /> Side Setback area N 72°57'40" W <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 /> O/c-Tor A , reiG t &-k'k(A0- -1--( --"--. /6-- / --020/3 <br /> SIGNAT�Us-R�E�Owner/Agen/t� <br />