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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 S 72°57'40" E 254.01' F Side Setback area <br /> • Rear <br /> O it y : ////////////�i%%�i%%�i%%�ii%//.%�/.%�/� area <br /> O j O <br /> A- 10 Feet % F g <br /> co Needs a W <br /> !!!!1eee Location W -N. <br /> QI w 1 N Survey 4_Setback W 3 <br /> OO D Proposed 169.8' % Line 00 <br /> N j 0 Addition J O <br /> CC a 35. % _ �� D io <br /> f, _ _ _d__ N <br /> O � N 0 <br /> co • <br /> V. <br /> I Z ,,{, <br /> _J �iLllli_G%, <br /> ch <br /> • r J A - . <br /> 1 Side Setback area N 72°57'40" W <br /> 1 <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 /> Rd b A- k t,11,eti ;?—/.— o,,,q--- <br /> . SIGNATURE: Owner/ t (.CE-glAt A-44.411 <br />