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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' r Side Setback area <br /> • le .1 <br /> l Rear <br /> O <br /> e://er //•/ //•/•,///i/////�ii%%i%%%ffi%%%�iiii��j Setback <br /> area 4 <br /> O ^ � , O <br /> v. V 10 Feet I— M <br /> Q / Needs a / W <br /> !!!!'!!! Location W <br /> Q I W Cj , 0 -- ° Survey Ø(....setback w <br /> / ,%'' r Proposed 169.8 1- c0 <br /> �/ N / Q Addition Z O <br /> 6L iv 35.� I m io <br /> f.- _ _ _0_ - . <br /> co <br /> Z - - - ✓,#,, ,,_, ,s__,� �,� �,s �,s �,� �,�'�!/,�'lls 4 ci) <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I 5--e-- t:)/r fi 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 /> 1 AyA-Cince-- AC- k-€_/' /747/(7/6 <br /> SIGNATURE: Ow r/Agent <br />