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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 . . . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' i Side Setback area <br /> • <br /> II _ /�/J�/�/�} Rear <br /> /rl %7������������������0%70%70%7✓%i /� 1 a etback <br /> O <br /> M <br /> 10 Feet M <br /> 0 Needs a / Z <br /> W <br /> __ Location a <br /> V W <br /> Q I W , Survey 0+_Setback W <br /> OO D Proposed 169.8' l'ne Oa <br /> WN Q Addition J O <br /> llir 0 35. �� _ & is <br /> O y%/ N <br /> I <br /> ....r itrJ.A eJ JA (4 <br /> _ __ <br /> • 1--• <br /> 1 Side Setback area <br /> 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/ nt <br /> e DATE: <br /> C)( \(\/1(g -NeNt\p A 62/0(4. <br /> SIGNATURE: Owner/Age <br /> j' <br />