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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 /> I I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> /�7/7771777 /7TTJ1T� 1 • Rear <br /> G ...,, ////.##z/� / � area <br /> tack <br /> O O <br /> 10 Feet / H <br /> Q Needs a W co <br /> !!!! !!! Location / <br /> W <br /> Q I W 1 U) l .Survey ~Setback w Line r / Set <br /> OO / proposed L `�� 169.8' <br /> _I N Q Addition �� • O <br /> 11i� o 35. % i• o <br /> O —d N <br /> 00,_ <br /> 1 z <br /> r7, 4ej <br /> JAI co <br /> • r <br /> 1 Side Setback area <br /> N 72°57'40" W • <br /> 33' 33' I I <br /> 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 /> .J '6 se.h1uJ- 9.- � - 017 <br /> SIGNATURE: 0 ner/Agent <br /> 1,..„. <StLetZl <br />