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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' <br /> Front Setback area S 72°57'40" E 254.01' 1 Side Setback area <br /> • _ /� /�/�j Rear <br /> c p Y,,,,„-�/��������� %iii%%ii%%ii%i i /� 1 area <br /> tback <br /> O f/ / , O <br /> 10 Feet F- e_ <br /> 0 Needs a W co <br /> eeee:�e�e Location Ø+...Sethack <br /> W y w <br /> fn <br /> O o � Proposed 169.8' Line <br /> N O Addition J O <br /> iv 35. � _ iv io <br /> O — � N <br /> � <br /> r <br /> _ie.e.#4,J .J.A 1 0, <br /> _ _ <br /> • r <br /> 1 Side Setback area 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 /> i' 12g e I ,S}e tV,cp/,SS l!/WAY?' <br /> SIGNA - Owner/Agent <br /> 0 v - <br />