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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 /> � - 1 <br /> you may need this if . . . <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F_Side Setback area l <br /> • Rear <br /> D /, /��ii%%ii%/ii jii�/%� 1 Setback <br /> o <br /> 10 Feet H M <br /> Q 1-Needs a W <br /> Location w <br /> C+ <br /> W `�Urye!V W <br /> ØSethack� p169.8/ 0 Addition J O iv D co <br /> o G% - N <br /> r co <br /> Z - - 7/l/�J� �/// �%J JA di <br /> co <br /> ( Side Setback area <br /> N 72°57'40" W <br /> I <br /> 33' 33' I 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 /> 1 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: <br /> I Owner/Agent DATE:/ / <br /> /vcT� (,)'reti Jess;cy /4 c/ri,•I �/ �I17 <br /> SIGNATURE: Owner/Agent <br /> Q./\____./ ..elidal ' ' 4 , ' <br /> 4 <br />