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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 /> r <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area • <br /> • /J�J/�/jJ}JJ��JJ��'J�J� Rear <br /> p„, „ / / � 1 Setback <br /> O 1 cr <br /> o <br /> / 10 Feet 1— <br /> Q w Needs a / u, in <br /> ,!!, !!! Location <br /> Q ( w I survey Setback w <br /> 0 1:/t 169.8' Line } ^ <br /> O O <br /> d Proposed › O_I N Q Addition J O <br /> Ifir o 35. • io <br /> O —� N <br /> o <br /> ti _ _ Siff o co <br /> r co <br /> //j� j/j//j////�j//jjjjj/j//j// � T Z _ LL!/ii%`f <iV LeLLeLLLL/!L/!L/ll/CC!<il!<ilf JAI <br /> • N 72°57'40" W • <br /> Side Setback area <br /> 33' 33' ( 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 /> CYCNt, � <br /> SIGNATURE: t a� S-q +00I7 <br /> 4 ic 210,9---- <br />