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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'' F Side Setback area <br /> 1 Rear <br /> .,,z„iiii////%�.�.�,%.�. �/� I Setback <br /> area <br /> Needs a 10 Feet / W rM- <br /> 0 I Location / W <br /> Q I <br /> w N Survey 4„_,Setback W <br /> 0 O �G/J = Propposed L-- & ' . 169.8' Line F CO <br /> N 4� Add'dion O <br /> cc 0 p GO <br /> 0 35. G� N_ co. <br /> ° — 0 (I) <br /> 1 2 <br /> 3ff 4,J Side Setback area <br /> N 72°57' 40" W <br /> I <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 DATE: <br /> Stephanie Kleckner 02/22/16 <br /> At;TORE: • er/Agent <br /> aid. -- I le <br /> A <br />