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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 /> C 1 <br /> you may need this if . . . <br /> 33' 33' I I <br /> I <br /> Front Setback a ea S 7:.:4 0" E 254.01' Side Setback area vir iii— Rear <br /> Setback <br /> area <br /> b II <br /> O 0 <br /> N'' i 10 Feet �� F r <br /> CO <br /> ::: Needs a �` W <br /> •■■•.= Location g <br /> W <br /> Q w I W 1 Survey % ,Setback W <br /> 0 O % = Proposed 169.8' tO <br /> CC N ,/, O Addition p <br /> iv 35. <br /> d N cv <br /> ti — — <br /> o <br /> tp <br /> .4,J.JJ #/.ad <br /> Side Setback area <br /> N 72°57' 40" W <br /> 33' 33' I I <br /> I <br /> __ ) <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 /> Ke1.1JLzt4. lt4&I 4s ‘,-50- oe <br /> SIGNATURE: w WAge tt <br /> '14(■:./:<. , ,,,e``;;‘; :":: <br /> 7 <br />