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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 <br /> • Front Setback area IS 72°57'40" E 254.01' f—Side Setback area • <br /> P /JJ�'J�J'JJj � Rear <br /> //i/./ .#.// iiii %/i %i %/� <br /> area <br /> tbback <br /> O ! O <br /> r- <br /> ,' � 10 Feet f- M <br /> Q Needs a W <br /> T- <br /> !!!MI! Location % w <br /> QI IV Survey ~Setback w <br /> ��,/���/' s Line <br /> O O /_ Proposed\ - 'r 169.8' �/ II-- Gp <br /> _I N Q Addition %%//' ] O <br /> Ifli/ i� 35.d_ <br /> �� _ P.� is isi O —� j� N cn <br /> , <br /> _ cr, <br /> • r • <br /> I Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <br /> 1. I,the undersigned, hereby make application for a zbning 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 /> SIGNATURE: Owner/Agent <br /> iii$1° <br /> • <br />