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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 I <br /> Front Setback area S 72°57' 40" E 254.01' F Side Setback area <br /> • <br /> �j]/� %J/�/��jJ/��jJ/J/�� Rear <br /> �, /i iii��iii�iii //� 1 Setback <br /> ir 1�� ��/�/� area <br /> �� 10 Feet / f- <br /> 0 X2 Needs a W co <br /> eeee�_ee Location Ø+....setback <br /> W <br /> % I W , Survey w <br /> ►i r Line <br /> O O � = Proposed 169.8'CC <br /> O Addition J O <br /> a 35.` I <br /> f,'- _ _ _4_O % iv N <br /> ✓ O <br /> w//j/j j//j//j/////j//j//j//j//j//j// r co <br /> 1 Z - - - 1!/G�[GUGGVGGU[CL/!1/!1/!1/11/11�GU <br /> M <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I <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 /> Q �\ _ C■1>c-bw O I? S- IV"? <br /> SIGNATURE: Owner/ nt <br /> � l <br />