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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 <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' r---Side Setback area <br /> 1 /��//�1/J� • Rear <br /> O �,� , ��iii��iii��i �i %i %//� Setback <br /> [Y%///// 5,,, .#,/ area <br /> 0. c! <br /> f <br /> 1-- 10 Feet F r <br /> Q Needs a W <br /> !!!!2eee Location / <br /> W <br /> Q w cn Survey W <br /> O 169.8' Ø4_Sethack <br /> Line <br /> O / Proposed F pp <br /> _/ N O Addition <br /> iv 35. % z io <br /> O —�� isl N <br /> r` ° <br /> r _ _ O <br /> V' <br /> #441,J J Al <br /> _ _ _ <br /> co <br /> • r <br /> I Side Setback area N 72°57'40" W 1 <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 /> E FIQC-y A. GognmAl 2f- 17 <br /> SIGNATURE: Owner/Agent <br /> 7yi%ma <br />