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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 /> I I <br /> • Front Setback area S 72°57'40" E 254.01' Side Setback area • <br /> Rear <br /> D , /���ii �ii�ii�� 1' a etaack <br /> o <br /> 0. e- <br /> 4 10 Feet H <br /> Q Needs a W cej <br /> eeeexeee Location j W <br /> Q1 w 1 survey ��Setback W li <br /> O .. ' / Line <br /> O / = Proposed '� 169.8' CO <br /> CC N 0 Addition �� � O <br /> iv 35. �� _ %/� iv io <br /> O —d N <br /> O N <br /> co <br /> W7 geirJ J A CO <br /> • r <br /> Side Setback area N 72°57'40" W <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 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 /> —1-De.(Awr/ 4-/Qtwil 3- 36--/ <br /> SIGNATURE: Owner/Agent !J <br /> j.)..._,, <br />