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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 lirnay 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 /> ® I Rear <br /> rW <br /> O r// `/"f////!//// ii% <br /> area <br /> tack <br /> 10 Feet 17:3® ,- Needs a!eee:�eee Location j W 1 N Survey .._.Setback� Llna® NPropposed 169 8 Fp(� Addlrlon O <br /> CC a 35.0 _ s <br /> O �� / V <br /> ° %%%� N co <br /> 1 z rv,-/ argJ A , <br /> en <br /> m <br /> • r <br /> I Side Setback area N 72°57' 40" W <br /> 33' 33' I I <br /> • <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 /> • <br /> PRINT: Owner/Agent. • DATE: <br /> fi e/17 e la-- ‘Af Xii <br /> SIGNATURE: Owner/Agent <br /> • <br /> e <br />