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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 thisf if= . z.s, 3.. <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> ® Rear <br /> Pi// �X/ //// <br /> ,1. Setback <br /> V//j area <br /> O A O <br /> c ___...._. 10 Feet z <br /> Needs a W <br /> ® Location <br /> w W <br /> w rn <br /> I I � Survey / Setback W <br /> ® O � Pm�osed 169.8' , Line ao <br /> �,a N 4 (] - Addition - O <br /> CC iv 35. 2 ��' is co <br /> r--- _ _ ..4 r r <br /> I z _3/7ff ,4,J ff A <br /> cf, <br /> • r <br /> Side Setback area N 72°57'40" W <br /> I <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 /> SIGNATURE: Own er/Agent <br /> ycLtj\::L_ec__e:__ts_. . <br />