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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 may need this if . . . <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> 1 Setback <br /> .t•Y/ iiiii ii/////% i area <br /> o c <br /> O %%� <br /> 10 Feet t- <br /> 2 Needs a 4 W <br /> co <br /> 0 eeee:!eee Location a <br /> Q <br /> w w <br /> 1 N � SurveyS Setback W <br /> Location <br /> 169.8' / Line >- <br /> O O % = Proposed F- O <br /> N Q Addition / .:.t O <br /> CC N 35.`i = i z co„. <br /> g. _ _ 4 co <br /> 1 z <br /> _ _ r#ff/ll�G1/Gl/Gl/G!/Gl/ll/ll/l!�!G'�!/ <br /> • r • <br /> I 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 per • and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by the owner o erty. <br /> 0 <br /> PRINT: Owner/Agent ,1 DATE: <br /> L 0 Li (S d /1" /( Lc) `6 `�i`'' �tr� i.f/o 9 <br /> SIGNATURE: Owner/Agent '0 1 `' / <br /> ..' Lz <br />