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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 /> • <br /> you may need this if . <br /> 33' 33' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • Rear <br /> -,� y/, /////,//// //// // ///�/%�/�///�///�j//�/�j/�/' Setback <br /> pj //% %/%%/i% %/% %ii%/ii%% area <br /> O <br /> O / O <br /> Needs a 10 Feet / w <br /> O co <br /> eeee:�eee Location Ø*.....Sethack <br /> Survej/0 169.8' Line <br /> O Proposed 0p <br /> N Q Addition Zi O <br /> Xi(li/ 35.0 N N <br /> 0 <br /> co <br /> I Z <br /> 17),J. eJ .J A <br /> rn <br /> _ _ <br /> M <br /> • r <br /> Side Setback area N 72°57'40" W <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: O ner/A nt DATE: <br /> X 416'5 OLA VI x ID -- 7-? — ( =. <br /> SIGNAT -E. Owner gent <br /> y i i , <br />