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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 if . . . <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' i Side Setback area <br /> I • Rear <br /> 1 <br /> r.,„„„ ������ Setback <br /> ����� area <br /> O <br /> O <br /> co 10 Feet F- r. <br /> Q Needs a z <br /> !!!! !!! Location / w <br /> Q I w I Survey Setback w <br /> 169.8' Line y C <br /> o N O Proposed ). O <br /> Addition .J O <br /> Ce N 35. j S <br /> O D m <br /> �� N <br /> co <br /> I Z %�� r <br /> N <br /> _rr. t G1�JLLl/LGU[LC/[C!�!l�llCLlICGIIJ <br /> • r <br /> ' Side Setback area 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 /> (,i <br /> PRINT: Owner/Agent DATE: <br /> .x rz,4,� O• F'6s,psi 0.4... s,r0, ^ A / l <br /> SIGNATUR : Owner/Agent .j/ Z��5 <br /> X0 W.0--e—.5-e---4-........._ <br />