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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 .''. , a <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' F Side Setback area <br /> I _ ® Rear <br /> 11 r Setback <br /> /////////////i% %/% /iiii% %iiii/ area <br /> ,..� 10 Feet I— <br /> Needs a W <br /> ® !!!!M!!!! Location / w <br /> Q W W rn <br /> (n Survey <br /> . • <br /> w <br /> ® O � Proposed 169.8' Une Op <br /> N S Q Addition � . O <br /> CC <br /> N 35. � _ %�� C4 i0 <br /> � N <br /> — — _g__ A� co <br /> __/ff. 1�JGG(lL[ULGU[LC/1LC�11�11�11J 1 <br /> (7 <br /> r • 6 <br /> Side Setback area N 72°57' 40" W <br /> I <br /> 33' 33' <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 ke DATE: <br /> >� Sl�wt°-S/InS <br /> /0—;(D �� <br /> SIGNATU • dWner/Ag- <br />