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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 /> • <br /> Front Setback area S 72° 57' 40" E 254.01'' F Side Setback area 1 <br /> %J//�� Rear <br /> C %// //// /////��i ��irr��irr��irr��ii � i Setback <br /> area <br /> N— �� 10 Feet / H 1•• <br /> O Needs a w T- <br /> ,...,... Location z <br /> aI W W <br /> w I to Survey Setback w <br /> O / <br /> Line o Proposed 169.8' %�� I CO <br /> CC N <br /> 0 Addition J O <br /> 35.0 %� N <br /> 0 <br /> D in <br /> O N <br /> I <br /> _frrif#,4rJ J/Ald cn <br /> • r tI Side Setback area N 72°57'40" W <br /> 33' 33' I <br /> I <br /> 1. I,the undersigned, hereby make application fora 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 /> -7-jivi 1-4w' 6-e4- s .2-4/1 <br /> SIGNATURE: Owner/A ent ow.— <br />