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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 /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • <br /> Rear <br /> ir, /���������� /����� Setback <br /> area <br /> j ►; 10 Feet F- r' <br /> Q Needs a I W <br /> 1 Location / W <br /> Q co Survey /4_Setback w <br /> 0 / Line <br /> 0 N ' <br /> Proposed 169.8 <br /> Q <br /> FM <br /> Addition O <br /> c <br /> P•■ _ — _d._35. % m <br /> e- o <br /> � („),-co <br /> 1 z <br /> - — _J� 1/1 1�G1�GGC/GLC/LGC/LlL/[CC/!!/!1/1lGGC(GLC/ <br /> •1 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 /> PRINT: Owner/Agent DATE: <br /> /4_C-4-^-1 <br /> SIGNATURE: Owner/Agent / <br />