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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' r Side Setback area <br /> • I1 •• <br /> .. /j/�)/j/�y/j/may j/�/� Rear <br /> i x/ //////////��i �� � � 1 Setback <br /> [,U/ area <br /> O ! O <br /> O <br /> M <br /> 10 Feet / F. M <br /> Q Needs a W <br /> ••!•:'••• Location W <br /> Qw 1 Survey �� �Setback w <br /> O ' Line <br /> O Proposed 169.8' H CO <br /> CeN 0 Addition O <br /> o35.0 =T. N <br /> O N 0 <br /> co r <br /> r <br /> I Z <br /> _Ir/ff 4rj JA cn <br /> • _L_ <br /> N 72°57'40" VV � <br /> Side Setback area <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/A DATE: <br /> q ,, 1 g- l 6 <br /> Th---- <br /> SIGNATURE: Owner/Agent <br />