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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' F Side Setback area <br /> I • Rear <br /> 7., iiiiii ii////// 1 a etback <br /> R <br /> 10 Feet H I- <br /> F a , W co <br /> Location Z <br /> QI W I Survey 9A4_Setback O O � Proposed 169.8' Line O <br /> _/ N Q Addition JF O <br /> CC o 35. " <br /> CO is.. - - -0- .- o <br /> I- <br /> r <br /> I Z <br /> -117JArJ JAI 0 <br /> - - <br /> Side Setback area <br /> N 72°57'40" W 1 <br /> 33' 33' I 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: Oyw�y"nneerr/A/gent �",�/� DATE: <br /> SIGNATURE:.Owner/Agent <br /> ��/L ✓c 7 / Y_/ -7 <br />