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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' <br /> • Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> iJ�/� I�yJJJ�'J�� Rear <br /> i/// ��/ /.„„,////�%% /i%ii%/ii%/�� <br /> area <br /> tbback <br /> O !rte// ' / O <br /> O <br /> / e- <br /> O Needs a 10 Feet w M <br /> �— <br /> Location Ø.....Setback <br /> Survey W <br /> O - 169.8' Lme >} <br /> O = Proposed tp <br /> _I N 0 Addition J O <br /> If li' 0 35. �� %/ iv N <br /> O _g a N 0 <br /> CO <br /> 2 CO <br /> co—rir ,,I,J .J A <br /> • <br /> 1 N 72° • <br /> 57'40” W • <br /> Side Setback area <br /> I <br /> 33' 33' I 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 gent DATE: <br /> /4 0:••• '• 1 ... 5 t ,, -AID/e' <br /> SIGNATU t Z..........._. r <br />