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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' r Side Setback area <br /> I • /JJJ/JJ� JJ�� 1 Rear <br /> v/// XZ .�������� ��% /�� Setback <br /> O <br /> • N o <br /> M 10 Feet r <br /> Q Needs a Z co <br /> !!!!l.!! Location / W <br /> Q I W tn Survey /4_Setback Q <br /> o � �V, 169.8' / Line } <br /> / O Proposed F <br /> re N Addition J 0 <br /> Tv 35. I %% is <br /> o <br /> N. _ _ _d__O N <br /> N ,_ <br /> 1 z r ,_ <br /> _ _w G <si.,&J[eVLS!!s'LL�'LL�'LL�lL.:Il:LL/J I <br /> co <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I <br /> 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 /> skin / rZ 1 h y C- a 7- /4 <br /> SIGNATURE: Owner/Agent <br /> ..-- 2r,e-/Z.:7--- / <br />