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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' <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> I • Rear <br /> 1 1 Setback <br /> O j 177#. ���������i%%�/%%�i%%�i%%�/%�%j i area <br /> O / C <br /> ✓ 10 Feet F- <br /> co Needs a / W <br /> 0 � eeee:!eee Location / <br /> W W . <br /> w sr <br /> Q I , to Survey /,_Setback w <br /> Oc 3 Proceed 169.8' % Line <br /> N Q Addition % Zi O <br /> Ce N 35.`% I %%' = io co _ <br /> ?.... _ _ _d__ N <br /> O � N,_ <br /> I 2 <br /> J <br /> - - -� �i, /11�ig,G�lG1/G/1/Gl/Lll/l!/!!/1!/1! <br /> co <br /> • r <br /> 1 Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I 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 �j p DATE: <br /> C—)©''\e i� - G.C,�J C6\&b\C) <br /> . SIGNATURE: Owner/Agent <br /> 6,./.7,..,1„1,2_. �' <br />