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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 /> • Rear <br /> Setback <br /> D /Z ������//# <br /> j �� // area <br /> CR <br /> 1 / d <br /> 1— 4 10 Feet / t— M <br /> Needs a W <br /> Eeeeeee Location / W <br /> Qw 1 N Survey \ '—Setback W <br /> O O % = Proposed 169.8' Line <br /> N 0 Addition es- <br /> CC iv 35. <br /> N " <br /> N <br /> CO • <br /> ,�is •��G[LL CLL[LLLL�lL�'LL�LC�'ll�r��[['L! <br /> M <br /> . r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' 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 /> Z' . 1 \1 5 a <br /> SIGNATURE: Owner/Agent <br />