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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 S72°57'40" E 254.01' i Side Setback area <br /> • • Rear <br /> C /! iiii /. //�� Setback <br /> ;�� �������/////// area et <br /> �/ 10 Feet / F• ro <br /> Q r , Needs a x ro <br /> %/ !'!!'eee Location a <br /> Q I W i , CD SUVey ' Ø4....sethack W <br /> 0 0 Proposed 169.8' <br /> Cr <br /> N <br /> tip <br /> Q Addition _J O <br /> c 35. � 5 is <br /> Fs — — —0— , Q <br /> CO <br /> r <br /> ..i,0,,.ff#4,J JA . <br /> _ _ <br /> • <br /> I N72°57'40" W • <br /> Side Setback area <br /> 33' 33' 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 /> 4, 4-1 ki. eril /3 13'is6I. -e ( /O --- • 3 ---- 0Fr- <br /> ATURE: Owner/A <br /> S� Dgent LI <br /> ,,,,,,i, <br />