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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 I ation survey to verify the construction location. <br /> • The survey shall be done at the time when fou dations 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 /> I <br /> you may need this if . . . <br /> 33' 33' I I <br /> I I <br /> Front Setback area 1 S 72°57'40" E 254.01' r Side Setback area <br /> • r ' Rear <br /> area <br /> 00 I q <br /> r f I o <br /> Q � � Needs a 10 Feet / I Z <br /> QI w W _,... Surve Location 04_Setback I O _ Prppoosed � : 169.$' Line Y <br /> Ce N Q Addttion Ii— co <br /> CV <br /> 35. � = I P o <br /> o j' D iD <br /> ° t IN N <br /> 2 A� I <br /> • r 1 <br /> I 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 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 on he permitted premises by zoning inspectors of the Dane County <br /> Department of Planning&Development to determ ne compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance oft is 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/Agent DATE: <br /> Stephanie Kleckner 1 03/29/16 <br /> NATURE: Owner/Agent <br /> (--0 CA <br /> tikkk_&__•,..,\ _ 1A—^ --- <br />