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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 5 72°57'40" E 254.01' r Side Setback area <br /> • Rear <br /> area <br /> j p 1,���,„,..„,i �ii%�i%%%i%//.�/.%���� 1 area <br /> O j <br /> O ! O <br /> CT; <br /> Q M Needs a 10 Feet // <br /> w r <br /> eeee:�eee Location / W - <br /> QI w , N Survey s- ~Setback W <br /> O O __./ = Proposed '"N 169.8' Line } O <br /> N 0 Addition ,J -J O <br /> CC N 35. 2 /� = io <br /> I Z V� CO <br /> �%�/l , �/�1#%%%.J„, <br /> • r <br /> 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 /> VV\1....-\--- tAkiNi —g( L.*_ \O \ '-3 1 b <br /> SIG AT RU E: Owner/Agent” <br /> c--6Q U■_L_)-- C-----....- ---- <br />