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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 if . . . <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> 1 + Rear <br /> • <br /> 1 area <br /> o / I 0 <br /> 10 Feet �%� l- <br /> M � Needs a / W <br /> CI MUM! <br /> Location ØSetback tu <br /> W � ' w Survey `,.. ~ tu <br /> O I �N�S" 169.8 <br /> O Proposed F" 0 <br /> Addition J 0 <br /> CC iv 35. _ / P N cn <br /> i',.. _ _ _, /i zs, CO <br /> —•I��i.1 �£'G1/G1/G1�z111l�1l11111� /4 <br /> co <br /> 1 Side Setback area <br /> 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: Owner/Agent DATE: <br /> 616,94 iCf ti at A P M Uip ac ii /o/ /1a <br /> SIINATURE: Owner/Agent <br /> )(51-11/e1A kW 02 <br />