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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: Alocation survey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . . . <br /> 33' 33' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • <br /> I - 1 Rear <br /> A Setback <br /> area <br /> o o <br /> 10 Feet F r <br /> o � Needs a W <br /> M , .... ... Location / a <br /> W <br /> < I W Ili Survey f~setback w <br /> OC 3 Proceed 169.8' "e - <br /> N O Addition =J O <br /> CC N 35.0 _ <br /> o � & io <br /> ° _� N <br /> o <br /> co <br /> r <br /> 1 . <br /> _ _ .....iirffffjr..iJ JA. CA <br /> • r <br /> ' Side Setback area N 72°57'40" W <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 owners)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 /> Ver/OCY\ l O t23/15 <br /> SIGNATURE: Owner/Agent <br />