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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' ,Side Setback area <br /> Rear <br /> O , '' 1 Setback <br /> j '����1��'.���� area <br /> O <br /> ' . O <br /> - � 10 Feet I— C- <br /> ® m c Needs a / W <br /> Location Ø+_sethack <br /> W <br /> Qw <br /> / ' N Survey� Prsed 169.8 Line <br /> �y N / Q Addition 0 <br /> li. c� 35. _ co <br /> O iv N <br /> 0 — o <br /> r-,_ _ _ _0— co <br /> - — /! iil:S�riS�if/ssSi :S� <br /> • + <br /> I 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 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 /> Se /71zy(ov- 1q45 <br /> SIGNATURE: Owner/Agent . <br /> 5/4 ( `z4 <br />