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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 Tray'need this if .• <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> ® e Rear <br /> t Setback <br /> P /iii,„. .�/%//%i�i,�i.%i.%i, r '� area <br /> r 10 Feet F- co <br /> ® � Needs a W <br /> eeeet�eee! Location j w <br /> U..1 w N <br /> ' Survey �4__,.Setback w <br /> / • Line O � ] Propposed 169'8 F} 00 <br /> _/ N �� 0 Addl4lon J O <br /> fYl/a i� 35. S %� m io <br /> o j�� N N <br /> O r O CO <br /> r-- _ _ _g_I Z <br /> ._/riff A . <br /> M <br /> r II 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 /> /ev Cr I ‘...:_j i w.t/ +iC. /9, / <br /> . � . <br /> SIGNATURE: Owner/Agent <br /> 4,/ /(JJ2- )4e-r <br /> ct1I i4 t.;f 1 G?, /(O—1 <br />