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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 /> ■ <br /> you may need this if . . . <br /> 33' 33' <br /> I <br /> Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> • Rear <br /> / I�,/„// /////������iii%iii%iii�i%%/i%// Setback <br /> area <br /> O j O <br /> O <br /> r % 10 Feet / F— r <br /> 0 E Needs a ___ � W <br /> --- --- > Location j% <br /> Q w W <br /> CO <br /> w rn <br /> Survey ff4_Setback Q <br /> �` Fv r i.ire% Proposed 169.8 � F o0 <br /> N O Addition Z O <br /> iv 35. �� C <br /> O _, N <br /> o a <br /> _ _ co <br /> --liff.1 1�LL� IXGCl1ffGLl�LCLLLL�ll�llsLl.1lJ JAI <br /> • r . <br /> Side Setback area N 72°57' 40” W <br /> I <br /> 33' 33' I 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 /> 1 <br /> 'c'-i0 L0,C+mP0,,,- 3 (1/2 /°C <br /> SIGNATURE: Owner/A ent <br />