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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' Side Setback area <br /> Rear <br /> / ��I`// / ,///i%% 1 <br /> Setback <br /> area <br /> O r 0 O T <br /> c" <br /> Needs a 10 Feet W co <br /> ® eeeeeee Location % w <br /> W 1 N Survey Setback w <br /> Line <br /> ® O � = ProFosed 169.8' / F <br /> N 0 Addition -J O <br /> 6L a 35. � / <br /> �� 1- is <br /> O �� _/ a N <br /> o <br /> I"' CO <br /> 1 Z Sr .,11,J .A, cn <br /> M <br /> 1 Side Setback area N 72°57' 40" W <br /> 33' 33' I I <br /> 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 /> VGw. eS -Pr t<wFc�- ‘',-\ L/' ) ` ii <br /> SIGNATURE: Owner/Agent /1 A <br />