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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback liner <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 /> III Front Setback area - S 72°57'40" E 254.01' r Side Setback area <br /> t I _ Rear <br /> / ! ,„,—!/////////�iii��iii�iii��iii��/% i �/ 1 area <br /> tack <br /> O I 0 <br /> O <br /> r 4 t- <br /> 10 Feet F- (O <br /> Cl Needs a W T <br /> eeee:�eee Location j W <br /> W 1 u) Survey Setback w <br /> r Line <br /> ® O � ] Propposed 169.8' / ~ 20 <br /> N 0 Addition 71 O <br /> 6L ii 35. � _ / <br /> g- _ _ _A,..O � / a N <br /> CO <br /> I Z <br /> m <br /> ® r <br /> I Side Setback area N 72°57'40" IN <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 /> e-g-t aA,PRINT: Owner/ ent. 1. an.e- DATE:0/...„)....._ <br /> I/ -) —/ <br /> SIGNATURE: Owner/A e <br />