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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 /> J�jj1J� r1 Rear <br /> O D ,, �������iiiji%% Setback• <br /> ri//// �����������//��/� area <br /> 1— 10 Feet / N- <br /> 0 Needs a W <br /> M <br /> Location <br /> W <br /> Q w 0 ____L___ Survey % Setback W <br /> 169.8' / Line } <br /> O O / = Proposed %� t— CO <br /> _/ N O Addition J O <br /> 1(i~ i� 35. = = it) <br /> f- _ _ _g_O % N N <br /> co <br /> ,... <br /> 1 Z - — —� ��/GGC�LI�il/_L�JGCU[C!/LCl�l1�11�'ll�'11�!!J / co <br /> M <br /> • r tSide 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: O r/Ag je.e, DATE: <br /> SITU E: Owner/Agent <br /> 67'2`2-7(7 <br /> N / c tc <br />