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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 .' 5 , <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> ® Rear <br /> ��7 /Jj)/JjJ jJj Setback <br /> P//// ZZif ///// area <br /> O Ire// O <br /> O <br /> co Needs a 10 Feet / W <br /> ® !!!!M!! Location Ø4....Sethack <br /> Survey® O � Proposed 169.8' Line <br /> ao <br /> XN V4 Q Addlflon O <br /> if�Ya 0 35. �� 2 io <br /> O _g N <br /> 0 <br /> co <br /> r <br /> I z <br /> • r <br /> c„ <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I <br /> 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 /> I�, I CJQ rS / . S <br /> Q vi n r/ 2 ' 2 Y / -7 <br /> SIGNATURE: Owner/Agent <br /> gid/A,itii 0 jAmief <br />