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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 S72°57'40" E 254.01' r Side Setback area <br /> • <br /> 1 Rear <br /> , I Setback <br /> area <br /> r <br /> M �% '10 Feet F" M <br /> Needs a z <br /> •••••••• Location W <br /> j <br /> Q I W , N 11 SUNey S` h— nebad uQi >' <br /> 0 c Proposed I�W�N 1698' > - <br /> CeN Q Addition F f7O <br /> I'iv 35.�� %� iv <br /> iv C4 <br /> io <br /> ce <br /> 0) <br /> __ _ _r/ffff A <br /> , • r <br /> Side Setback area N72°67'40" W <br /> 33' 33' <br /> J <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: j <br /> Wtndk ? httr 2.'/ )/-1 <br /> SIGNATURE: Owner/ ent <br /> r <br />