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I <br /> j <br /> 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 /> i <br /> 33' 33' I I 1 <br /> I I I r <br /> r Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> I • I _ /J�J /JJ� JjJ J� • Rear • i <br /> 1 D�� �� � �� �ii% / � Setback <br /> C//,// ���������////// area <br /> O /[� of X <br /> T- _ 10 Feet F <br /> Q ✓'/�� Needs a w <br /> Location � <br /> W <br /> Q I w Survey W <br /> Cn O = <br /> Proposed /� 169.8' Ø+_Sethack <br /> Line F co <br /> N <br /> Ce Q Addition O <br /> / n co <br /> o isi <br /> I <br /> Z �� ty) . <br /> co <br /> ,_ <br /> _ _• r <br /> 1 Side Setback area <br /> N 72°57'40" W • , • <br /> 33' 33' 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 /> i <br /> t <br /> 1 <br />