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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 /> • Rear <br /> ir yX/M ''',.* 1 Setback <br /> area <br /> O O <br /> 10 Feet F r <br /> co Needs a W <br /> O UM!!! Location <br /> Q � w W <br /> w '� <br /> N Survey ~Setback w <br /> o - 169.8' <br /> Line <br /> O Proposed 1— O <br /> N 0 Addition O <br /> Ct C., 35. � 2 j� • N <br /> co <br /> O �� / • N,._ <br /> 1 . <br /> _ i LGJGGUL<l�ll�l1�J1�11J <br /> • co <br /> I Side Setback area <br /> 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 /> 11, 114 f ) `j D 'Y ±2— a- :^ 7 / I / /7 <br /> SIGNATURE: rlAgent <br /> g.„2)4 JJ V 1 i ^ <br />