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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 <br /> Front Setback area S 72° 57' 40" E 254.01' r Side Setback area <br /> • r._ • Rear <br /> I Setback <br /> Fr <br /> 'Zi//ice.#/////////%% �/� 1 area <br /> o <br /> 4 <br /> 0 <br /> T <br /> co Needs a 10 Feet I W <br /> �eee:�!e! Location ØATh W <br /> Q w N Survey etback W AO p = Proposed ^` 169.8, ne Addition 35. _ M is <br /> / N <br /> N. — — —0- CO <br /> Z <br /> � !<ii% �G(`iLL`LLiL`iYSlL/ll/lL/LG!«L!<`L!JAI <br /> . r • <br /> Side Setback area N 72°57'40" W <br /> 33' 33' I ' <br /> J <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 /> /Lyy Pv(4iz_4 ia,✓ 2 `l -Z67.6 <br /> SIGNATURE:/Owner/ ent <br /> /f (-- A <br />