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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 /> 1{ Rear <br /> • Setback <br /> Z area <br /> /��������/////�/%%�/%%�iii%�ii%//i% <br /> O / / C <br /> O <br /> t <br /> Oj Needs a 10,Fee <br /> � <br /> !!!!M!! Location. / w <br /> Qw / W <br /> O � _ Survey Setbine ack <br /> O % Proposed 169.8' L <br /> CCiv 35. Q Addition <br /> CO o <br /> • <br /> gt&J A. <br /> M <br /> Side Setback area <br /> 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: Owner/Agent DATE: <br /> ‘J'-b.S€(# '/5 ,,4/ Jr-8^08 <br /> SIGNATURE: • n-r/Agent <br /> / • <br /> j <br />