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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 S 72°57' 40" E 254.01' F Side Setback area <br /> I • Rear <br /> �/// fx,.. . #,. 1 Setback <br /> [rte// %�i �iii //�� <br /> area <br /> O . <br /> O N O <br /> r A 10 Feet F <br /> 0 Needs a W co <br /> ••••,•••• Location <br /> Q W 1teck cn co <br /> y ti169.8 O O GPropose Addition CC 35.0 2 <br /> ti'L — — _d....O Z co <br /> / a N <br /> CO <br /> 0 Z e— <br /> N"' <br /> - - ¢ 1/11l 1�GGlIGGC/LJLCL/!1/!L/!1/1lGllGG1 <br /> • FP <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> 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 /> 'C c �1 €r ) D _ a�� Og <br /> S GNATURE: Owner/Agent r <br /> k , -r \tik0A4 <br />