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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 I <br /> r Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> • <br /> I <br /> I 1I 1 Rear area <br /> Setback <br /> O r O <br /> O <br /> , 10 Feet F <br /> Q Needs a W r" <br /> Location Øi._Sethack <br /> 169.8 00 <br /> et N Q Addition J O <br /> o 35. % I %/ im io <br /> I z O —a N <br /> 0 <br /> co <br /> r 0 <br /> yir ..,c,J .J. 44 <br /> _ _ r, <br /> • r <br /> 1 Side Setback area N 72°57' 40" W • <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)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 /> i i MO-Vk- VC)-- tf.\■e■ CS\ .rts-r , <br /> SIGNATURE: Owner/Agent <br /> /----(--------(5-1—-4,-yrPG11-- l(---""'----- I—Pit ? 3 0 23 <br />