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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 loction 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 zonirjg office before continuing work on the project. <br /> • Note: A location survey may add significant cost Ito your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> 1 I <br /> you may need this if . . . <br /> 33' 33' I <br /> I Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> Rear <br /> �� 1/������� Setback <br /> o i i °l <br /> 0. f <br /> ,.. 10 Feet F c co <br /> 0 Needs a W Tm <br /> eeee:�eee Location j W <br /> QI W 0 ' Slit +_Setback w <br /> CD / >-O 169.8' Line <br /> O Proposed H 00 <br /> CeN Q Addition J O <br /> iv 35. % %/% ' N <br /> co <br /> ,_ <br /> o N <br /> O <br /> 57 z.... . J JA <br /> _ _ <br /> M • <br /> • 1-4 Side Setback area <br /> N 72°57'40" W <br /> 33' 33' I I <br /> J <br /> 1. I,the undersigned, hereby make application for a oning 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 t e owner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct the roject in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with an 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 determ ne compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance of t is zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by th owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> vi I m (P 2-1/1(0 <br /> SIGNATU?Ikt\J• • Agent <br /> I <br />