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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 /> ..„....,r..,,, .. <br /> you i,i'nay need <br /> .ythis`1f . f, `� u . ,:: <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> I Rear <br /> j <br /> %Z��������Z// .� Setback <br /> O ' area <br /> O O <br /> r 0 <br /> Needs a 10 Feet / W <br /> ® ____:.___ Location W <br /> W � , co Survey Ø4_Sethack w� Propposed 169.8'Q - Addition O <br /> 0 35. �� I j/ N is <br /> N- _ - _O N <br /> ° I <br /> N- <br /> IZ - - __1: ��'1 1��G LUCGULLU[i!/[!l/t%1�'11�11.1(. <br /> cr, <br /> ® r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' 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 /> Rifigiati 6t1Eie 2- /3'/7 <br /> SIGNATUR�E•/Owner/Agent <br /> ice <br />