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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' I I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> I • ., /777/77J/77J/7TJTTTJT� Rear <br /> O D „, /��� 1 Setback <br /> /7��������������� area <br /> O O <br /> S 10 Feet , F g <br /> �� Needs a W <br /> !!!! !!! Location /Ili <br /> � W <br /> Q I W I Survey �4,Setback W <br /> O 169.8' / Line Y . <br /> O = Proposed !- OD <br /> Ce N p Addition 1 O <br /> N 35.0 = N <br /> co <br /> r <br /> 1 z <br /> 57 ,,,,J JAi c4 <br /> M <br /> • r <br /> Side Setback area 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 /> %goB0�6(1 57T f2 Usccf ff rt (1 _/5, 06 <br /> SIGNATURE: Owner/Agent <br /> c, /,6f 1-€171 <br />