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A location survey, by a licensed suveylor, 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' <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • JJ� Rear <br /> O P/// 'j/ /�������������%%�✓/.%�/�%�✓/.% ii%%� 1 <br /> area <br /> r 10 Feet �� ►. r ig <br /> co Needs a I W <br /> !!!!!.tee Location <br /> QI w 1 Survey Ø.....Setback 169.8' Line <br /> O Proposed 6 <br /> Ce N O Addition O <br /> 0 iNl 35.�� I m <br /> O —� N <br /> O v a <br /> r• _ O <br /> , <br /> Z 1/7.J.� rn_ - #4,J�LL�f/�JVfLL�'LL�'LL«ll��LlJ L al <br /> • r <br /> 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 /> T94), i3 �5k4 y 0-,f /6 <br /> SIGNATU : Owner/A ent <br /> Y <br />