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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' <br /> Front Setback area S 72°57'40" E 254.01' + Side Setback area <br /> • Rear <br /> rU/// .//". #z��i%%%ii%�/i%%%ii%�/ii%/ii%///� 1 Setback <br /> O <br /> N 10 Feet V. <br /> ►- <br /> co Needs a _ z " <br /> 0 <br /> / W t <br /> r <br /> •■•■�■•■ Location / W <br /> Q w / I Survey ��Setback W <br /> 169.8' Line <br /> O O / Proposed ap <br /> N 0 Addition J O <br /> Et iv _35. 0 1- <br /> O %�//� N co <br /> CO g- _ _ _g_ fJ J A <br /> _ _�sllslltGco <br /> • r <br /> Side Setback area N 72°57'40" W I <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 ofl,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 /> FO tw l f-• ,c ir"--ft-{- 3-z/-/z <br /> SIGNATUR wner/Agent <br /> L 114 <br />