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A location survey, by a licensed surveyor, is required if your (ruction <br /> Y Y Y � o0o w� <br /> is within 10 feet of a setback line. oti �4�� <br /> • You will need to hire a surveyor to prepare a location survey to verify the construction loctn. �p <br /> • The survey shall be done at the time when foundations or basement walls are completed. ,Q' . <br /> • A location survey shall be submitted to the zoning office before continuing work on the project. V- <br /> • Note: A location survey may add significant cost to your project.Please contact a Wisconsin Licensed��, Surveyor. <br /> O <br /> you may need this if •r <br /> I 33' 33' I 1 <br /> I 1 <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> Setback <br /> O / <br /> N— <br /> 10 Feet I— r <br /> CO Needs a / z ILI N- <br /> eeee:1e Location <br /> Ø4mne <br /> �% w -I w I Sure cn w 169.8fo <br /> Cy N iv 35. % Q= Addition —t c 7 CO <br /> O N O <br /> r CO <br /> • r <br /> ( Side Setback area N 72°57'40" W <br /> 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 /> N 1 e_\,?sk)ux& Mis.x t-1 L 11 \ \ (Q \ D S- <br /> SIGNATURE: Owner/Agent <br /> -- <br /> �l <br />