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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 /> i <br /> you may need this if . . . <br /> 33' 33' I <br /> I <br /> —Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> f —" 0 <br /> %J/J/�� %J/J� Rear <br /> O 4. % ff• /iii�iii��iii�i %///i i /�� 1 Setback <br /> ������� ��// / area <br /> O ee % O <br /> r 10 Feet r <br /> F.. <br /> O Needs a W <br /> co <br /> eee!�e�! Location j <br /> Survey <br /> W 1 (W SUIVey �. � .Setback w <br /> O ] Z �,.,� 169.8 Line > <br /> Oj Proposed F CO ri <br /> _/ $V o Addition J O <br /> IfiT o 35. � %�� of <br /> f- _ _ _A °cn <br /> co <br /> ,_ <br /> z _ _ _r.. ./7 4,J J A <br /> Side Setback area <br /> N 72°57'40" W <br /> 33' 33' I I <br /> I <br /> \ / <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 /> -ZOON,,C.5 No1cei•--) 6 - /C9 - 1b <br /> SIGNATURE: Owner/Agent <br /> w�.--- <br />