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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' r Side S Setback area <br /> •I " 1 Rear <br /> rir, .//C r 1 <br /> area <br /> Setback <br /> p O <br /> 1 10 Feet �- r <br /> Needs a W 1. <br /> co <br /> 0 ____..___ Location 3 <br /> w <br /> Q I W / , W Survey Setback w <br /> O 169.8' Line <br /> O �� ' Proposed c�0 <br /> Ce N O Addition / J t'ist 0 35. % %%� = N <br /> cc, <br /> ,.. <br /> I Z E _j//j 4eJ j/�////j//j//j//j/j/ m <br /> _ - v_� �/!!/ll jGG%LG!/e!!/!1/!l�Gl�G1LGl • <br /> • Side Setback area N 72°57'40" W <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 /> C gutckv 5119/1(p <br /> SIGNATURE: Owner/Agent <br /> C' 15ukcit <br />