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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 /> • <br /> r 1 1 <br /> you may need this if . . . <br /> 33' 33' I I <br /> • Front Setback area S 72°57'40" E 254.01' F Side Setback area t <br /> Rear <br /> `j 6 eaa <br /> o <br /> ✓ 10 Feet t <br /> 13 r hum Needs a I <br /> eeern., Location a • <br /> ( w / Survey setba k w■ <br /> CO O uce <br /> ry % O Addition 169.8' -I O <br /> CC N 35. % _ z co <br /> h �% 00 • <br /> N- <br /> Z( .".7 /.#4 <br /> • m <br /> r <br /> side Setback area N 72°57'40" W <br /> 1 <br /> 33' 33' I i <br /> 1 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and f <br /> certify to the accuracy of that information.I further certify I am the property owner,or a duty authorized representative, <br /> and may sign this permit application an 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 /> • <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 VQ LAc t 0. (1 \At0 tin ve s, Lt-C DATE <br /> W\r-en _.t. , G-ti-v_e-i ,2_ //-1 7 ---(S <br /> SIGNATURE: Ow er/Agent ` V <br /> LILY.- '114 ' a g ' r <br />