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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback lire. <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 /> l <br /> you may need this if <br /> 33' 33' I <br /> I <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> • _ /TJ7/7)7!)J)/7Tj Rear <br /> O TYTr F , /j////�ii%%/%%%i%%/i%%%✓�i���� . Setback <br /> ���������� area <br /> O 4/ <br /> O <br /> N 10 Feet W,Z Needs a / <br /> 0 --- --- <br /> Location <br /> w <br /> Q w 1 \ Survey Setback w <br /> 0 Line <br /> o Proposes 169.8' Co <br /> wi N / O Addition <br /> fLrL o 35.� = �� D ir, <br /> o �% iv N u) <br /> co <br /> Z - - - 1 11.11.Gf�[LULLULGU`[L/`!1/ll.1l.1/G[!1[GU JA' <br /> M <br /> Side Setback area N 72°57' 40" W <br /> 33' 33' I I <br /> I <br /> \ / <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 /> Ne. - IL fre5c f `sc (^ to/3 / 201 <br /> SIGNATURE: Owner/Agent <br />