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w <br /> 1 <br /> 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 • i .. � • Rear <br /> O %� /J ,��� ,�� % ii% area <br /> O O co <br /> �� 10 Feet / H <br /> O � Needs a W <br /> eeee:eee� Location •. back <br /> • 1 Proposed 169.8' Line QO <br /> u N ri 0 Addition ] O <br /> (iTi 0 35. <br /> O / N <br /> (r■ — — _A O <br /> 0 <br /> r <br /> 1 z <br /> _w 4rJ .J.44 co <br /> _ _ <br /> • I-4 • <br /> 1 Side Setback area <br /> 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 /> CL / 3cO/. T <br /> SIGNA • •wner/A <br /> 401)„ <br /> 1 <br />