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i <br /> 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 /> • Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> Rear <br /> rP/�// �/ /////� % % % . �, �// 1 area <br /> ack <br /> O I 1 O <br /> e' 4 10 Feet t-. el <br /> Needs a / W <br /> 2 <br /> !Timm! Location j, W . <br /> Q I w Survey �- % Setback w <br /> 0 �% ] A1'l 169.8' / Line <br /> O Proposed c0 <br /> N Q Addition = O <br /> CC a 35. _ �� m Z.0 N <br /> f's — — _d__O ��j N <br /> co _ <br /> • r co <br /> 1 Side Setback area N 72°57'40" W <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 /> k7<0..e. breA t'la 05 <br /> . SIGNATURE: Owner/Agent <br /> C.---k0A..ta.--- ASt)(6-1-I2- <br />