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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' —Side Setback area • <br /> I _ lI Rear <br /> r.,„..„,„1 r� /� �� t a eteack <br /> 0 0. <br /> / 10 Feet .. e- <br /> 13 ! a W <br /> !!!!' !e Location Needs / W <br /> QI w � 1 \ Survey �Setback W <br /> O ] �t v 169.8' Line <br /> O / Proposed ap <br /> Ce N 0 Addition %//' ] p <br /> iv 35. � _ ev Fo <br /> O —��� N <br /> o f%/ o <br /> CO <br /> r- <br /> - — _167 gtrJ #/A <br /> co <br /> • <br /> 1 N 72°57' 40" W • <br /> Side Setback area <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 /> bov Cs D%L.r-14 — C MT ftv2_vt;,R►wi wt&au'S 7 f,V-4/I 9 <br /> SI/ • URE: Owner/A. <br /> is ent <br /> - O,vt3e--r_ OF l0 V&- l 144' 1k wu�wol3a fry # <br /> 1N cw - 64-W viit 0 b3 11c1 <br />