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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' r Side Setback area <br /> • • <br /> Rear <br /> Fr 1 area <br /> tack <br /> ;/iii;iiiiii////// �/� <br /> c ....e. I °. <br /> n 10 Feet t— <br /> 1 ,2 Needs a � W <br /> •e•e:�e�� Location / W <br /> Q I w , 0 Survey �4_Setback W <br /> 169.8' Line >> <br /> 0 N O Proposed O <br /> Addition : O <br /> CC iv 35. � _ m io <br /> O �� ' � � a N <br /> ° ° <br /> co <br /> ✓ c <br /> • r • <br /> Side Setback area N 72°57' • <br /> 40" W <br /> 33' 33' <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',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:his 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 /> SIGNM E: Owne en <br /> J <br />