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t <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' + Side Setback area <br /> • <br /> I .. /%/�J%�/y Rear <br /> C iiii%iii% iii/�� 4 Setback <br /> P ;�������������/////// area <br /> O : O <br /> r 10 Feet , r co <br /> co <br /> W <br /> eeee:�eee Location j s <br /> W <br /> Q W SUIVe}/ � Setback w <br /> Ill w <br /> N ' h—Line <br /> O O proposed 169.8' > <br /> IX N 0 Addition J O <br /> o 35. j - cv <br /> O — �/ N <br /> F.-- r/%/ <br /> _ ' O 0 <br /> r <br /> r <br /> 1 z <br /> _yr 4r,z JA 0 <br /> _ _ <br /> • r <br /> , Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> 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 /> David Walford 12/07/15 <br /> SIGNATU • Owner/Agent <br /> �' <br />