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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 /> j — — <br /> you may need this if . . . <br /> 33' 33' ( \ <br /> ■ � I <br /> Front Setback area S 72°57'40" E 254.01' r—S,de Setback area <br /> 0 • Rear <br /> r4r'Y//////////////4Tilff%r/JV/ 1 Setback <br /> ' erea <br /> p O, 10 Feet 1-'Needs�a 0 W <br /> ••••.•••• Location n �' W <br /> Ij l y <br /> Q w , fn Survey w O �" 1698Ø4_ e <br /> r 00 <br /> N D Proposed - <br /> /�/ Addrt�on o <br /> CL iv 35.W I / 1 N <br /> o �� �� <br /> C — — <br /> co <br /> Z co <br /> _ _.>; 77/.�11�.,,,JL� Gl/LII�C!/!!/!1/sl1GGlJ A <br /> • r • <br /> Srde Setback area N 72° • <br /> 57'40" W <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 /> fi 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 /> DATE: <br /> PRINT: Owner/Agent <br /> s C if / � /8 �f n ' , �¢ /‘_ - 1 <br /> __ <br /> " !Agent <br /> . SIGNATU-R = r� <br /> • <br />