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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 /> r Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • <br /> I I Rear <br /> area <br /> O ,7T <br /> I rt <br /> O <br /> r % <br /> O "' Needs a 10 Feet / I-- M <br /> �� ••••,•••• Location W <br /> Q I W <br /> W , Survey ~Line eack <br /> w 0 O ? Proposed 169.8' <br /> 1.- O N Q Addition CC iv 35. % I 1- - <br /> D o O iv N o co <br /> ,.. <br /> I <br /> — 3,7.4rJGGC/[LUl!!�!l�11�1lGLlJ <br /> • r <br /> I 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 /> Way to*1 S c 6 e C.{►- TnS,yht Fs 01044'513n S 6rauhmaeki/)c " F-- i p <br /> SIGNATURE: Owner/Agent <br /> tA—Stiv A1114111.----- <br />