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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: Alocation survey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this f t. ' } <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' i_Side Setback area <br /> • <br /> Rear <br /> a aack <br /> /iiia iiii//%/%i�i,�i, i. i.�i.��/� I <br /> ir' <br /> , / <br /> r <br /> 10 Feet F. r <br /> M Needs a / w <br /> / ___e:1eee Location / W <br /> Q I w , � 1 N Survey � <br /> r / Setback W <br /> O O ff`, � % ' Proposed '‘" 1" 169.8' Line } .2D <br /> N O Addition 7.1 O <br /> CC N 35. _ ' N J 4 . co <br /> o 34 <br /> - - j /l!/!li.1.)�i'G1/Gl/G1/Lll�i.1!/1l1 <br /> • r _ <br /> I Side Setback area N 72°57'40" W 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 /> its • it) Pg/1-0K C I i ' i2 —O? <br /> SIGNATURE: • er/A nt <br /> ilk <br />