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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 zonirtg 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 /> 1 <br /> you may need this if . . . <br /> 33' 33' I I <br /> • Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> ., ., • Rear <br /> D „ v /������� 1 Setback <br /> l���� ������ area <br /> O O <br /> 10 Feet F- <br /> CO <br /> Needs a ' w 1" <br /> ---- --- '- Location <br /> 1 c W <br /> W , \ ( Survey S �4--Setback w <br /> 0 i.::. n ICI Proposed '�)'��N 169.8' Line } O <br /> N O Addition .i O <br /> X N 35.� z <br /> Z iD <br /> O � iv N <br /> ° <br /> r•-• _ _ _0_ O <br /> Z c0 <br /> — _0/.7/ / _/� /l/�/l�%J <br /> co <br /> • N 72°57'40" W • <br /> Side Setback area <br /> 33' 33' <br /> \ / <br /> 1. I, the undersigned, hereby make application for a oning 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 oft e owner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct the roject in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with an 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 determ ne compliance with the county's zoning ordinances. This consent is <br /> valid for the period commencing with issuance of his zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by th owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> omVs A. Fsrx I /F//� <br /> SIGNATURE: Owner/Agent <br /> -01,,_,_._ i4 ':7 <br />