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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 f: r: , <br /> 33' 33' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> ry"ZZ. Z/ 1 Sep <br /> rj 70 Feet F- r. 0) <br /> of Needs a 4 W ro <br /> 0 r- <br /> eeee:1eee' Location / W - <br /> QI w Survey ~Setback w <br /> cn O - --/ 169.8' Line y} <br /> O ` Proposed / F 1D <br /> _J N Q Addition %� -- O <br /> CC lip 0 35. ' co <br /> // N <br /> �W#/.s:!F &CeLL S'L/LiLLS'L/ /i:L/i.���lf�LIC:C! A <br /> — —• F 1. <br /> 1 Side Setback area N 72°57'40" W <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 1 DATE: <br /> `�` S C-kb eM e_h-fan.I4-frt. i /v q <br /> SIGNATURE: Owner/Agent <br /> 1 -'1"1-1.5 _ <br />