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, <br /> A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> • <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 /> • <br /> you may need this if . . <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> 0 <br /> Rear <br /> w %%% ��ii% %ii% Setback <br /> e.1/7Le,/i%////// / area <br /> 0 <br /> j o <br /> m <br /> Needs a 10 Feet / W <br /> ® / ■■■�■■■ <br /> • Location W <br /> Q I w / I N Survey ØSethack W <br /> O <br /> 169.8 >- <br /> N / O Proposed f' CO <br /> Addition -� <br /> CC EN 35. _ 17 CO <br /> N <br /> O ., O <br /> • r <br /> 1 Side Setback area N 72°57' 40" W <br /> 33' 33' 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: `_ / --- 5.----G <br /> _I Y l� I i <br /> SIGNATURE: Owner/Agent . / <br /> //I 4(ill ir <br />