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Y . <br /> t' 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' <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area _ <br /> I • _ /TJ71777/�� j` Rear <br /> //� 1 Setback <br /> / /„// area <br /> O i i / O <br /> O <br /> r• <br /> ' Needs a 10 Feet / F M <br /> Q � W �- <br /> eeeeeeee Location <br /> j W Q I Lu I Survey s\ ' setback W <br /> O O ' Proposed AN" 169.8' / —Line <br /> } <br /> tO <br /> N 0 Addition O <br /> �/ <br /> li. a 35. 2 % z is <br /> o G% � o <br /> v o <br /> .7/ #t& 4 <br /> _ _ _ M <br /> • r <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' I 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 ) +2C/ I' DATE:- // _ <br /> �N1 Vvr� Bn 6 K � �D <br /> SIGNATURE •• n ge t <br />