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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 I <br /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area • <br /> 11 Rear <br /> Iil �� /������� aretaack <br /> A <br /> � % z...-; 10 Feet H r- <br /> N eedsa< w r. <br /> 0 MEM! `› Location a <br /> 1 Survey <br /> � Setback <br /> 0 O / 3 Proposed t-1'v` �'� 169.8' line w w CO <br /> N O Addtion <br /> Ce / J O <br /> iv 35.`% = i�� m io is, CNI <br /> 'e _ _ _g_r O <br /> W//j f j/j//j/////j//j//j//j//j//j// r cO <br /> 1 Z — — — /!1 G GC/LLC/LGC/[!1/!1/!1/11/11.11GLC/r • <br /> • Side Setback area <br /> N 72°57'40" W <br /> 33' 33' 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: Owner/Agent DATE: <br /> 4/(<il e, ?-/cc- /e0 <br /> SIGNATUR • . •�r/Agent A A■,.. <br />