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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' f—Side Setback area • <br /> /%7/�/%/�/%/�J%/�%J/�J%/�/� 1 Rear <br /> P / , � <br /> area <br /> tback <br /> o <br /> o <br /> Needs a ,o Feet w <br /> co <br /> !!!!Mt! Location a <br /> Q I W I 0 Survey/ ff 9 Setback '( <br /> <� 169.8' / <br /> Line > <br /> 0 Od ' Proposed F CO <br /> _I N Q Addition —1 O <br /> Ifir o 35. % z4 csi <br /> c0 <br /> jiff .4,j JA 03 <br /> • N 72°57'40" W • <br /> ISide Setback area <br /> I <br /> 33' 33' I 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 /> Tef red g• Milord-4 5 o 2. /,b <br /> SIGNATURE: Owner/Agent / / <br /> c2ree , , , <br />