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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 /> • /j)/))/jam/J�/j/ ///� Rear <br /> © ,z,,„„,„ /�i i i �/ /� area <br /> taek <br /> p g_ O <br /> 'r' 10 Feet I— co <br /> ® co ` Needs a 4 W ;° <br /> Location / W <br /> < 1 ILI g I <br /> (n Survey \ / .Setback <br /> O / NS 169.8' Li"O � Proposed �� 00 <br /> Ce N I Addition , ...r 0 <br /> iv 35. I j� z iD <br /> O �� � iv N <br /> co <br /> ,.. <br /> 1 z <br /> • r fSide Setback area 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 /> ---.. <br /> ry J <br /> , ,, , �'n1. 9_ , <br /> SIGNATURE: ner/Agent <br />