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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 /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> 1 _ Rear <br /> I— <br /> area <br /> ack <br /> o cO <br /> r Cr 10 Feet F- c co <br /> co O Needs a W <br /> eeee:!eee Location Ø4... Setback <br /> I W , W <br /> ci) <br /> s Line <br /> O O ' Proposed 169.8' co <br /> N 0 Addition J O <br /> CC c 35. _ �!�j z Zs) <br /> r N co <br /> r D <br /> ,._ <br /> 1 z co <br /> • — —WJ#:,latrJ[CU[l1�11�11�11�'11G11J <br /> M <br /> r • <br /> 1 Side Setback area N 72°57'40" VV I <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: Owne Agent DATE: / <br /> //zn!/� / -464_ S/1b 14, <br /> SIGNATURE: Owner/Agent <br />