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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'll' . . . <br /> 33' 33' I I <br /> I I <br /> —Front Setback area S 72°57' 40" E 254.01' r_Side Setback area <br /> I 0-- .. Rear <br /> 1 Setback <br /> aa <br /> 0 <br /> j o <br /> r— 10 Feet / H t j <br /> m Needs a W <br /> ® ___,___ Location W <br /> W / 1 Survey / Setback Q <br /> Ill <br /> o 169.8' / } <br /> O o Proposed J O <br /> �y N / Q Addition <br /> Ct a 35. _ <br /> N <br /> O N <br /> O c- O co <br /> i•-,_ _ _ _d_ ,_ <br /> I _ _ _rofff,#& ,# A cn <br /> 4 • <br /> •I Side Setback area N 72°57' 40" W <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 /> 2 T' 6_9 1 Dyer) 5 P— /_- (J /-.2 /' c,2c) 5-- <br /> SIGNATURE: Owner/Age, <br />