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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 Su <br /> BECEN <br /> you may need this if . . . 2016 fill i 6 <br /> 33' 33' I I <br /> I • <br /> Front Setback area S 72° 57' 40" E 254.01' 1,� �Side Setback area ly I ttiNG& <br /> • .. CCu Rear <br /> Fr(//�������� // // // 1 r Setback <br /> C / / / / i //�� O area <br /> O <br /> r' 10 Feet I— M <br /> Q Needs a W <br /> V. <br /> M !!!!!eee Location <br /> W <br /> Q w 1 0 Survey 0�_Setback O O = Fro�osed ' 169.8' ao <br /> Addition J 35. _ <br /> O / N <br /> -� 0 co 1 ,_ <br /> co 2 _rir artrJ_ _ <br /> • N 72°57' <br /> • <br /> 40" W • <br /> Side Setback area <br /> 33' 33' I I <br /> I <br /> \ / <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 /> 60 u✓1 1- or) ghl i6' <br /> SIGNATURE: Owner/Agent <br /> ____ _0.--__ ____ 1/Z;e____ <br />