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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 /> I I <br /> • Front Setback area S72°57'40" E 254.01' r Side Setback area • <br /> I - 1 Rea <br /> r.,,„„„///%% i� ��%� , area <br /> ( 10 Feat / z M <br /> C Needs a W <br /> ....:1... Location 2 <br /> W <br /> Q I W I t SU/Vey 4_Setback 3 <br /> O <br /> 0 0 169.8' Line O <br /> Ce N ProppoosSed 0 Addition � O <br /> 0 <br /> r... _ _ _A_35 . ' N co <br /> O <br /> I"' <br /> r <br /> "ff .dYj JAI Cn <br /> • Side Setback area N72°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 /> e4.3)pew-, ....1 J'. --N L z h-/Z. (C.4 J Gi-hvt i aT ` j k l 1 7 <br /> SIGNATURE: Owner/Agent <br /> -c., <br />