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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 /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> _ <br /> / 1 Setback <br /> ii, 1/ o <br /> o <br /> T" 10 Feet %%� F r <br /> ") Needs a / z <br /> 0 � !!!!MT Location / W - <br /> Q � uI % 1 Survey � _Setback W <br /> 0 0 ''=•- / Proposed 169.8' Line 03 <br /> CC N 0 Addition J O <br /> E4 35. _ 7 iO <br /> O a N <br /> Z _� � <br /> o.4i N'' <br /> - — <br /> • <br /> r <br /> I 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 /> ("-R o►oe_C-k- G i 5 0C) <br /> SIGNATURE: r/Agent �� <br /> ,__ <br /> t <br />