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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' r Side Setback area <br /> 1 _ 1 Rear <br /> pr/- y.7.1 .7.1 . /////i / iii %/ i % � area <br /> Needs a 10 Feet / <br /> 4 <br /> w <br /> ____ ___ Location <br /> w <br /> Q I w j , \ Survey W <br /> Ø4_sethack O O = Proposed 169'8 Q Additi ...i O <br /> ifli� _ is <br /> O N <br /> ° N <br /> co <br /> 1 z cn <br /> _C27'.LC !is,JCSVC'LL�LL�'l1�'1L�Jl�CLI. A <br /> M <br /> • r r" <br /> 1 <br /> Side Setback area N 72° 57' 40" W <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: Owner/Agent DATE: <br /> --F) r)- x-) , i-c, DIV) ) <br /> SIGNATURE: Owner/Agent <br /> 21-A-- <br />