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A location survey, by a licens-d surveyor, is required if your construction <br /> is within 10 feet of a setback li ne. <br /> • You will need to hire a surveyor to prepare a I.cation survey to verify the construction location. <br /> • The survey shall be done at the time when fo ndations or basement walls are completed. <br /> • A location survey shall be submitted to the z.ping 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 /> / <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' r Side Setback area • <br /> 1 • _ 1 Rear <br /> O ii,� ,, Setback <br /> �.wt. ,/..„�„%% �i�%g�/��/�� area <br /> O �� <br /> / 10 Feet „ <br /> O � Needs a W <br /> !!!!1!!! Location W <br /> QI W � I 0 Survey ~Setback W <br /> O ' /I�, Line <br /> O ' Proposed 169.8' %/�% I-- CO <br /> _/ N Q Addition 6 J 0 <br /> Ifir iv 35. � %� = N <br /> f, _ _ _d_0 CD <br /> co <br /> Z - - <br /> Yr&/ ��%JG'/1/G!/�'/1/G!/l!/ll/U.�' J <br /> c, <br /> Side Setback area <br /> N 72°57'40” W <br /> I <br /> 33' 33' I I <br /> J <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 furl er certify I am the property owner, or a duly authorized representative, <br /> and may sign this permit application on behalf i f the owner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct t e 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 in 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 if 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 /> , '/ ' //ye. — a g--c;/ - c9 <br /> SIGNATURE: Owner/Agent ae <br />