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4 <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' I I <br /> I I <br /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area • <br /> f Rear <br /> C ����j������ Setback <br /> rrr are a <br /> O . O <br /> I <br /> Q � Needs a 10 Feet ,/ W <br /> > Location f <br /> W <br /> Q I w 1 N Survey � �Setback W > <br /> 0 O � Proposed 169.8' / une co <br /> CCN Q Addition %// i- O <br /> iv 35. �� iv iv <br /> N CD <br /> 0 <br /> co <br /> Z <br /> • <br /> _lir ff#4 r.7 JA c 0 <br /> _ _ <br /> I Side setback area N 72°57'40" W <br /> I <br /> 33' 33' I <br /> J <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 /> It)4" P P i o - e k Ito 42b141 <br /> SIGNATURE: Owner/Agent <br /> dir ...■------- <br />