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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 ,rf‘,-- : : , ' <br /> 33' 33' I I <br /> I <br /> Front Setback area S 72°57'40" E 254.01' i Side Setback area <br /> • <br /> Rear <br /> CD / o <br /> area <br /> V' <br /> 10 Feet / F r <br /> co Needs a / W <br /> __!!!!! Location / W - <br /> Q I w 1 N Survey rn <br /> / ._Setback W <br /> OO `'-, j = Proposed 169.8' %" Line O <br /> N I Addition /�//�� : O <br /> Ce iv 35. = j�' D is <br /> O �% a N <br /> ti _ _ � j//j//j// 00,... <br /> 1 Z /11/1!�[Uff . <br /> • r - <br /> I Side Setback area N 72°57'40" W <br /> I! <br /> 33' 33' 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 /> .&. et3G) r i4r3,4G�/32Gl( U 3 A 3lCJ7 <br /> SIGNATURE: Owner! nt �_� . , <br /> ?--- b --7,--? 6 G-ce d. te-,-e-/-2_ <br />