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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 <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> I • 1I ♦ Rear <br /> D ', 1 Setback <br /> o j /iiiiiiiii������//i 1 area <br /> O / C <br /> T. <br /> 10 Feet / F- 1 <br /> co � Needs a / W <br /> !!!!'•!! Location / W . <br /> QI LU 1 Survey �\ �--5etback W <br /> co O - �% �1N 169.8' Line <br /> N / O Addition jj��JJ r o <br /> CC 'iv 35. j = %�' ' N <br /> Ps — — _d_ co _ <br /> ,.. <br /> I z <br /> • r • <br /> 1 Side Setback area N 72°57'40" W I <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 /> 'bOk_i_ \Ck.,-. - 21‘Wl PK C rfACk IA -2 7- 0E) <br /> . SIGNATURE: ent ofe \ <br /> 10 <br /> 6 / <br />