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. <br /> 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 /> • Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • <br /> Rear <br /> Setback <br /> r /iii./hill////%% �� area <br /> o <br /> A / co <br /> 0) 10 Feet F r <br /> Q Needs a / W <br /> Location / tu <br /> W <br /> Q w 1 Sun/ey %�� Setback W <br /> Ch \O O ] Proposed 169.8' �� Line ~ 00 <br /> N Q Addition J O P. <br /> c 35. / ' a Zo <br /> e <br /> CO <br /> I Z <br /> - - <br /> 3,1ff glieJG1 J A <br /> M <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' 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 /> -3 .5. , S-G1,1,pij ,i‘ ‘'/P , 4)?5‘ <br /> SIGNATURE:jj ,,Owne/Agent <br /> V• , <br />