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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 RECEIVED 1 <br /> .: <br /> Front Setback area S 72°57'40" E 254.01' F.Side Setback area 1 <br /> • <br /> ,C p _ UAY 11 B 201�e+back area <br /> o <br /> 10 Feet F- <br /> ") Needs a % z "' <br /> O � ..AME !%%UNTY PLANNI141 'DEVELOPMENT <br /> I � Location W <br /> w I w Surve rn <br /> Y Setback Q <br /> O O / = Proposed 1'1 169.8' Line F�}- <br /> _` N Q Addition J O <br /> 4 ,_CC + 0 35. ` .. <br /> O = N <br /> o <br /> N. _ — —, N <br /> Z CO <br /> '''7/ geg ,J./.4 <br /> c,, <br /> • r • <br /> 1 Side Setback area <br /> 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 /> ,ZGnac a,7a/Cilhd 5 \12 \ 20 i 6 <br /> SIGNATURE: Owner/Agent /• <br /> �/ <br /> ,----- Alle <br />