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} <br /> 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 /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • t Rear <br /> Setback <br /> lif . ,-7./ // 1 area <br /> o �' pi \ / <br /> �r Needs a 'o Feet / W A <br /> a •••••••• Location W <br /> w I w S Survey <br /> N % setback w <br /> O e t'1�A, SNP'.' 169.8' dine y <br /> O Proposed F GO <br /> N 0 Addition J O <br /> et 0 35. �� %� N 0 <br /> w <br /> T <br /> Z <br /> r7. ! rCJJ J 0 <br /> _ _ _ M <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 1 <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 /> 'Q r Jolt -eXcy( 0kt-- c - ( l - 2d 1 6 <br /> SIGNATU- • Owner/Agent — <br /> - ,ii` <br />