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'k <br /> 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 /> I area <br /> io r ; / %/iiiii iii ii:�i:; %%% I 4 <br /> IN <br /> O <br /> O <br /> Needs a 10 Feet i i co <br /> w CO <br /> min!!! Location 4 I W <br /> Q W 1 Survey ~Setback I W <br /> c"1� 169.8' Line <br /> O N % Proposed / I F : <br /> et Q Addition <br /> EN 35. % 2 I o <br /> 4o1. <br /> � co <br /> ° % I iv N... . <br /> �� I ao <br /> Z r <br /> 0 <br /> - ¢ 1111 1�LGIXG LILGJLGC/LLC/tl1�LC�11�11tG1GGJ 1 <br /> • r I <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 /> SIGNATURE: Owner/Agent <br /> /NA 10 j / <br />