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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' r Side Setback area <br /> • <br /> -1- • Rear <br /> ° "/,,i„������/////%� � � � �i. �/� Setback <br /> /JJJ area <br /> O 0 <br /> r 10 Feet 1— co <br /> M � Needs a 4 W <br /> w <br /> Location <br /> Q W <br /> w 0 Survey W <br /> < ` l 169.8' Ø4....setback <br /> Line r <br /> O O � Proposed 0 Addition CC = iD <br /> N CN <br /> OO �% %I� , <br /> co <br /> ,_ <br /> I z co <br /> _:r7/ 4,jL'L/L�'L/LLL�'ll�'LL.�L!<L' J LCL�IJ <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 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 /> SIGNATURE: Owner/Agent <br /> .00O/ �/-4'-�g�- `-�J 7-- fir' �'�.L <br />