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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 S72°57'40" E 254.01' r Side Setback area • <br /> I1 1 Rear„ area <br /> ip ,r , ,O / O <br /> 1r 10 Feet , f. M <br /> co <br /> 0 i- <br /> Needs a W <br /> eeee:eeee Location <br /> W <br /> Q w / y Survey Setback 3 <br /> 0 c Proposed 169.8' Line GO <br /> 1i N Q Addition J O <br /> iv 35.�� ' N <br /> w <br /> —I itr.ffAeJ JAI co <br /> 1• Side Setback area N72°57'40” W • <br /> 33' 33' I 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 /> Cho;s )hL.- vw.kh S-- !1- (} <br /> SIGNATURE: er g.r, <br />