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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback Iine. <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 ' <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> D/J� Setback <br /> jam// .fZ. ./////// % % ' area <br /> O j I— c_ <br /> 10 Feet Z .... <br /> O <br /> i / Needs a W <br /> ..__:__■ Location 0+_Setback <br /> �, Survey <br /> cn W ' / r 169.8'Proposed O <br /> Ce N / 0 Addition H <br /> isi 35. , 7 CD <br /> o co <br /> f-- _ _ _A_,_ _ _ ‘-' <br /> I Z - _ _� �/%lli% J� l uirAW4 • . <br /> 1 Side Setback area <br /> N 72°57'40" W <br /> 33' 33' <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 /> 67/4 Al CSr/6 4-17/e7 2 /G'9 <br /> SIGNATUR OwnerlAg nt <br />