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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 /> I I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> S r 1` Rear <br /> D %/iiiiiiiii//////%� � � � ��� 1 a aback <br /> O o <br /> 1." 10 Feet F- <br /> O � <br /> in Needs a // W <br /> ee:�ee e Location <br /> W <br /> QI w 1 Survey % f"semack W <br /> Oc 3 Proposed 169.8' %% Line <br /> N 0 Addition %� J O <br /> CC iv 35. _ ��' = co <br /> O � � � N . <br /> T <br /> I Z <br /> _ _ ___W g&J JAI - . <br /> c <br /> • r <br /> Side Setback area N 72°57'40" W <br /> l <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 /> rS A LD 1, - AJ - cP7CV 0 r <br /> . SIGNATURE: Owneer/Agge`ntt <br /> 01. _ c <br />