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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' r Side Setback area <br /> • �j�jfjj 11 ' Rear <br /> O /J ///////// �ii%�ii%�ii%%ii%�/ii%i�/� 1 <br /> area <br /> tbback <br /> A 10 Feet H r- <br /> 0 Needs a W CI <br /> eeee1eee Location W <br /> Q I w 1 I Z Survey ~setback W <br /> Line <br /> O O = Proposed �� 169.8 F}- pp <br /> Ids N O Addition � .� O <br /> 0 35. % iv m <br /> O —� � N,,cteJ JAI <br /> 1 z _ _r` _ _ �� °cn <br /> co <br /> r en <br /> • Side Setback area N 72°57'40" W • <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 /> 6 •60r-Ai A/11T-cf-fred 4,/5.za76 <br /> SIGNATURE: n er/A';• • <br /> G"� <br />