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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: Alocation survey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may <br /> � <br /> need this if . . I , <br /> t . . ... <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area • <br /> I Rear <br /> D /J r .#if#//// area <br /> T- 10 Feet F. r <br /> ,-- Needs a 4 W <br /> mile..!!!! Location / W - <br /> Q I w � 1 Survey � <br /> � � ,.$�' Setback w <br /> O ' -- % Survey 169.8' Line <br /> O `-'- Proposed / <br /> N Q Addition O Cizi <br /> rX iv 35. 2 ��' D iD <br /> P■ — — _g_ co . <br /> r <br /> 1 Z rir/////f ���////�����L�C/llCi[��'11�11/!!1ff/ . <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:400te-- 10-2,/°? <br /> SIGNATURE: Owner/Agen <br /> W• <br /> 1:0 I/ /0-ErZe <br />