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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 <br /> Front Setback area S 72°57'40" E 254.01' i Side Setback area <br /> • <br /> • I Rear <br /> �o�� // <br /> I setback <br /> / '.5Z/ area <br /> io 10 Feet I— r <br /> co Needs a Z <br /> O W <br /> !!!!:!eee Location <br /> W <br /> QI W , N Survey ~Setback wW <br /> O o % D Proposed 169.8' Line c0 <br /> N j Q Addition / J O <br /> CC a 35. % = i = io <br /> / N <br /> O �ij ��+��j � N •0 <br /> I Z <br /> — __ .��. �l 11#C t,GGUGUGJLIl�!!/ll�!1�11�11f A . <br /> to <br /> • r <br /> 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 DATE: <br /> Jq3 e) 4stx 6 c3s ice QU ) % ) d8 <br /> SIGNAT RE: Owner/Agent <br />