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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' F Side Setback area <br /> 0 Rear <br /> I ��f �J�j�jfjjjj Setback <br /> i , v.„����.,//////�%�% % % ��� 1 area <br /> O r� O <br /> �� <br /> CO � � Needs a 10 Feet <br /> !!!!V!!!!! Location y <br /> Q w II N Survey Ø*_ :ac</ C 169.8' } <br /> Op � 0 Proposed J O Co <br /> �y N O Addition <br /> X a 35.0 _ m <br /> %�� N <br /> p � N <br /> O <br /> ti <br /> co <br /> _ _ _� P <br /> 1 Z '� r, <br /> _ _ .5 I Side Setback area N 72°57'40” W 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 /> 12 ;0/ /j(i) <br /> e../ /cZ o ?12e../ � ' <br /> SIGNATURE Owner/Agent <br /> ictu_r_21, /1,0 j <br />