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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 <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F.Side Setback area <br /> I • " /� //� Rear <br /> C ..z, .//// /////� ���ii�ii�/ � O area <br /> �� 10 Feet F e- <br /> Q Needs a z <br /> W <br /> !!!!!1!!! Location E <br /> W <br /> Q I w u) Survey /4—Setback W <br /> 0 169.8' %%� Line >} <br /> N = Proposed 0 O <br /> O Addition / O <br /> iv 35.0 //�j EN CV <br /> 1 z o %� � co <br /> co <br /> r o) <br /> _rifff ireJ .J.4 <br /> _ _ <br /> 0) <br /> • r <br /> I Side Setback area N 72°57'40" W <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/Agent DATE: <br /> A iso_ 9a7 /lam <br /> SIGNATURE: ner/ j nt / <br /> — 7 . <br />