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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 /> • 1 • <br /> Rear <br /> t <br /> O 1X:./ .. ��/� <br /> 1 Setback <br /> area <br /> o co <br /> I"' ,o Feet co Needs a „` i w <br /> 0 •■■■■■■■ Location w <br /> W <br /> Q w N Survey �� Setback W <br /> O % 169.8' Line }} <br /> O = Proposed / F O <br /> N Q <br /> Addition J O <br /> c� 35. % I io <br /> o <br /> it- _ _ .., co <br /> I Z ,,,, .J A cn • <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: Owner/Agent DATE: <br /> M.4 e k 4-,.-oro2 So-✓ 5-atc — /7 <br /> SIGNATURE: er/A•-nt <br /> if 4 —• <br />