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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback Tine. <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' F Side Setback area • <br /> . Rear <br /> Setback <br /> O i r „���f�����������iii iii��i ��� i <br /> area <br /> O O <br /> C- <br /> 10 Feet l– 0-) <br /> O CO Needs a W r <br /> eeeeeeee Location % w <br /> I W 1 Survey Setback t¢ <br /> Line <br /> Li 2 <br /> N ] Propposed 169.8' / I-- OD <br /> Q Addition J O <br /> Cr iv 35.0 _ <br /> m is <br /> O � �/ i" (V <br /> o <br /> r- <br /> 2 —r/a ‘C,J <br /> m <br /> ® r tI 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 /> • <br /> PRINT: Owner/Agent. DATE: <br /> 640012° S. .1°6(9-1-0-- Y/269 il6 <br /> SIG UREA: Owner/Agent <br /> ,,v,5, <br />