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1 I <br /> 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 /> I I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> I <br /> /%�/Jj %J/�J Rear <br /> � .� /�� ���� /� 1 Setback <br /> ri ��� � ��/////// area <br /> O ' f O <br /> / 10 Feel i– M.3 <br /> ,_ <br /> r r <br /> Q CO ,,- <br /> Needs a W <br /> eeee:�eee Location % W <br /> W Survey� 4,Setback w <br /> 0 O = Proposed lam` 169.8' Line } <br /> —I N O Addition � es- O Pp <br /> rf�i o 35. � %� io <br /> O n, <br /> F. N <br /> ti _ _ r o <br /> I Z <br /> • r <br /> riiff gfj,J JAI <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: Own IA ent I DATE: <br /> (-4111‘,,, „ - <br /> SIGNA RE: er/A t <br />