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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 mayneed .this. if , . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> .. <br /> Rear <br /> r %.�� ��# / Setback <br /> area <br /> O i <br /> O / <br /> o <br /> 10 Feet //%� T- <br /> M CI ) Needs a —,_, z cn <br /> !!!erase Location <br /> W 'Wn <br /> Q w to Survey 7 4__Sethack w <br /> G' / = Proposed 169.8' ne _ <br /> N Q Addition O <br /> CC .� O <br /> iv 35. j = n is <br /> °O N <br /> co <br /> Z - - - ��%, Al co <br /> r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' <br /> I <br /> — — J <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 /> / z/cfce g 11- (5"--17 <br /> SIGNATURE: er/Agent <br /> L <br />