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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 : ', : ' i', ,,', <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> O Setback <br /> rr/ /////ii////%/%% � � �f/ 1 a area <br /> . ? o <br /> 10 Feet I- <br /> cn Needs a / z <br /> 0 ____:MP. Location / W <br /> QI w , � / W Survey ~setback w <br /> p .`=.- / D Proposed 169.8' Line Co <br /> N /j O Addition J O <br /> iv 35. j = D 0 <br /> r, _ _ _d_ , . <br /> _ — _J1L://!1/Ui_G� GYGLGl/GLGl/!!1i-111/1!/s!!J 4 . <br /> C13 <br /> 1▪ Side Setback area N 72°57'40" W I <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: Owner/Agent DATE: <br /> &e -.Q....N.. Kjp s i -‘-OF <br /> SIGNATURE: At <br />