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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 /> Front Setback area S 72°57'40" E 254.01' r�Side Setback area <br /> •I /JJJ/7JJ/)JJJJT 1 Rear <br /> �. � ��� 1 Setback <br /> area <br /> D /������. ������ <br /> o 1, o <br /> CID Needs a 10 Feet <br /> 0 W ___..___ i Location � I <br /> %at I w 0 T Survey .__Setback <br /> D Prop ���� 169'8 ine H -ui <br /> N Co <br /> / O Addition <br /> OC O <br /> iv 35. o <br /> I . 0 N <br /> r o o ti r _ - c <br /> • r Oco ff #etteJ J.4 <br /> • <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' <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: OwnerlAgent DATE: <br /> C-H R t SIG rl—t:; '- W/s.ii ry L////t7 <br /> SIGNATU E: Owner ent <br /> ./OL..-- <br />