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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 <br /> I <br /> 41 Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> f - Rear,ray !� `// ������ Setback <br /> i%/ -1 /.e����'/// area area <br /> O <br /> O <br /> 1— <br /> m Needs a 10 Feet / w <br /> 0 Location W <br /> QSurvey Setback W <br /> 169.8' / Line >-O N O Proposed F- CO <br /> Addition J O <br /> c 35. _ CO <br /> N <br /> 1; --F--— co <br /> _ _ .';_ ,#// ,g ,e#4 <br /> Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <br /> J <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 /> K s)e,..wr 4)6 s x / 2- 7-ic <br /> SIGNATURE: Owner/Agent �� <br /> )(._ <br />