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A location survey, by a licensed surveyor, is required if your construction r <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 . . . EIVED <br /> 33' 33' I <br /> 8 20116 <br /> —Front setback area S 72°57'40" E 254.01 sid8 SEt02ck area <br /> 7. <br /> Rear <br /> D/� /� ���������� ,/aSrettaaaback��/� <br /> O irk/// y� //////�ii �ii � � // Y- `+ry n�G11 <br /> r � 10 Feet ~ co <br /> Q Needs a W p <br /> eee!Ie! Location w <br /> � > W <br /> Q w < Survey / Setback W <br /> L1•v,/\,N 169.8' O Line Y ^ <br /> O O � = Proposed H Co 4° <br /> �y N O Addition O <br /> Y. iv 35.` _ ��� <br /> O zy CO <br /> o / N <br /> co : <br /> .... <br /> Z ��J////////� j//j// j/////j//////////////j// to <br /> _ _ _� Gl/l!/Il�LG%LGULGjLG%Ll1/l1/l!/U/!/�G% j <br /> • r • <br /> Side Setback area N 72°57'40" W 1 <br /> 33' 33' <br /> 1 <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 /> l <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 I <br /> compliance or until earlier revoked in writing by the owner of the property. <br /> PRINT: Owner/Agent DATE: . <br /> `OC,.4�,\ Ter- 1- 3-l6 <br /> SIGNATURE: Owner/Agent <br /> 4b MM-01911 <br />