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• i <br /> 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 /> Front Setback area S 72°57'40" E 254.01' 1 Side Setback area <br /> I _ �JJJ/JJ�JJJ�JJJyJJ��jJ�� • <br /> Rear <br /> r/j//////////////��i //�� 1 area <br /> ack <br /> O / , O <br /> M 10 Feet / H co <br /> G Needs a W <br /> !!!!!eee Location / w <br /> QI w I l \ Survey,� iSetback W <br /> 0 0 �� = Proposed " ° 169•$' Line } dp <br /> C N Q Addition I- O <br /> 0 35. � i4 io <br /> O _d N <br /> o <br /> cc <br /> Z t/) <br /> _ _ <br /> • r • <br /> 1 Side Setback area <br /> N 72°57'40" W <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 /> Gra/IX l-C--‹ '?/Y/6757 <br /> SIGNATURE: Owner/Agent <br />