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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 /> Front Setback area S 72°57'40" E 254.01' ,Side Setback area <br /> • Rear <br /> %� Setback <br /> O p ��///////////////�i%%�i%%�ii%%ii%ii�/��/�j/ area <br /> IN <br /> % <br /> m � Needs a 10 Feet / w <br /> eeeeeeee Location W <br /> Q 1 tu I U-1 Survey Se W <br /> CZt , `NN� 169.8' Ø+.... teback Proposed J O Co <br /> N O <br /> Addition <br /> Ce a 35. _ co... . <br /> co <br /> - - -� � , <br /> I Z - - -��i, l.,Q,JG1/G'/1/G'/1/�1/ll/ll/ll/l!J co <br /> • r <br /> 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 /> C-74)1() / rn /& i <br /> SIGNATURE: Owner/A en <br /> li9nAt <br />