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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' Side Setback area <br /> • Rear <br /> O F // /////% % ii ii/ a etaa <br /> 0. <br /> N-. <br /> CO Needs a 10 Feet / Z M <br /> O <br /> !MHO, Location j W N. <br /> Q I w I Survey /, ,Setback W <br /> c 169.8' Line <br /> O N O Proposed Co j Addition <br /> Ce iv 35. % I %% 1- ° <br /> O j N N <br /> F... _ _ _P m co <br /> CO <br /> Z r u) <br /> - — — 7/11 . G1� � zmi �/1/ <br /> m <br /> . r <br /> Side Setback area N 72°57'40" W <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 /> e--;‘, 4.- V3/0 e) <br /> SIGNATUR • ne gent <br />