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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' F Side Setback area <br /> I • ., J��J�J Rear <br /> 1 py ..z, / ///////����iii��iii��iii�ii / 1 area <br /> ack <br /> CD YV/ et <br /> o o <br /> 10 Feet / 2 l7 <br /> G Needs a <br /> Location / W <br /> QI w 1 Survey % Setback •°1 <br /> p - 169.8' Line }} <br /> O = Proposed %% O <br /> _/ N Q Addition ] O <br /> CC 0 35. � ' N co <br /> o <br /> co <br /> r <br /> I z <br /> _r$F .4rJ JA co <br /> _ _ <br /> • r' N 72°57'40" W • <br /> 1 Side Setback area <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 /> PRINTgent DATE: <br /> ..J o-c,. /3i sc 4a,4' ��g/ 5 <br /> SIGNATURE n Agent <br />