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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 /> • <br /> I Rear <br /> Setba ck <br /> ck F Z/ ///O , <br /> p <br /> Q 10 Feet <br /> Needs a; z <br /> Q % I !eee�eee Location / w <br /> W W <br /> O I LJ.I j Survey / Setback Q <br /> k;�' 169.8' Line W <br /> O O Proposed�� 169.8 } <br /> Ct N Addition ~ CO <br /> Cy 35. = J <br /> O % • i• s <br /> ° N <br /> d CO <br /> I Z fn <br /> i=7/ #0,J Usl1lL11�11�11�GU J A <br /> • r <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: Owner/Agent DATE: <br /> --._\ o't l nA -7 4- it, — (1 <br /> SIGNATUR`Owe- -g:nt <br /> With -_ <br />