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4 <br /> 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' r Side Setback area • <br /> 1 Rear <br /> /� � 1 <br /> Setback <br /> Fr -Z ' /° o <br /> o <br /> 10 Feet / Z <br /> Q Needs a W <br /> in <br /> M <br /> CO M eeee,,eee Location W <br /> QI w W Survey 94_Setback W <br /> VS' ' / Line <br /> O O / ' Proposed~` 169.8' 1- ap <br /> OC Q Addition J O <br /> a 35. �� _ i• p <br /> O —� • N <br /> CO <br /> I Z <br /> Z.:Yi j JA u) <br /> _ _ _ <br /> c,„ <br /> • r <br /> 1 Side Setback area N 72°57'40" W � <br /> 33' 33' I I <br /> I <br /> I <br /> 1. I,the undersigned, hereby make application for a oning 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 oft e owner(s)of said property,and I have read and understand all of <br /> the conditions of this permit and will construct the roject in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with an 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 onithe 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 his zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by th owner of the property. <br /> PRINT: Owner/Agen DATE: <br /> rri at e1 ce /ie <br /> SIGNATU : 0 er/Agen <br /> AI <br />