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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 S 72°57' 40" E 254.01' r Side Setback area <br /> • Rear <br /> O v/� /���������ii%//�� Setback <br /> i'D V%U//// .z, #,, area <br /> c A 10 Feet <br /> V Needs a <br /> O z <br /> W <br /> eeeeeeee Location / W <br /> Q w to . Survey /�/ Setback Q <br /> 0 O = Proposed ^�' 169.8' % Line F c0 <br /> 1C N <br /> 0 Addition <br /> a 35. � <br /> O ' co <br /> a _� A N <br /> co <br /> r <br /> Z co <br /> ..,tej J <br /> _ 1 _ <br /> • r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' <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: Q`wner/Agent DATE: <br /> // 1 ,' 1s-A k \ ,D.0 \ - <br /> SIGNATU- -. Owner/A.-nt <br /> j�rMk <br />