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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 /> I I <br /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • <br /> I 1 Rear <br /> i ,7//////////// //�� I <br /> area <br /> p O <br /> e' 10 Feet / F r <br /> Q Needs a W co <br /> !!!!!1!!! Location / W <br /> Q I w % I Survey gait <br /> 169.8' Line T <br /> <Z��M <br /> O O % ' Proposed H <br /> Cr N Q Addition /�%/' 3 O <br /> N 35.�� �% ' co <br /> 0 <br /> o <br /> co <br /> ,_ <br /> I Z /////� j//j//j/////j//j//j//j//////j/ W_ _ ffir/ll�GG%GG%GG%Ll!/ll/!!/!1/11G11GG! <br /> • <br /> 1 N72°57'40" W • <br /> side Setback area <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 /> al/. 1,CA-1/1,c, e611 1e � 1 (- #2- g- /6 <br /> SIGNATURE: • *' /A nt <br /> 410‘ / _____ <br /> OF r <br />