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A location survey, by a licensel surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> 1 <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 /> r <br /> you may need this if . . . <br /> 33' 33' I <br /> 1 <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area i <br /> • ., r . Rear Setback <br /> area <br /> 1- 10 Feet 0 NQ / 2 <br /> Location e g <br /> Survey <br /> Q I w / N 1 Survey �� Setback <br /> }WO O � 169.8' <br /> line <br /> N 0 Addition J kr' <br /> 0_i o 351 <br /> & cv <br /> r- <br /> Siff .4,4ffj JA . <br /> _ _ <br /> • r <br /> Side setback area N 72°57'40" W • <br /> 33' 33' I I <br /> J <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 /> .—Itot• ` a>, I C,' -- I .- t C. <br /> SIGNATURE: Owner/Agent <br /> ii/OZAJe2q\-------- <br />