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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 /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • - Rear <br /> P/// �� � ������� Setback <br /> [U/ !/ area <br /> O r et <br /> O ! <br /> 4 C <br /> co 10 Feet F- r <br /> 0 Needs a Z CO <br /> eeeeee Location / w <br /> Q I W , U) Survey Setback w <br /> Z 169.8' Line <br /> O % <br /> Proposed <br /> N Q Addition 0 <br /> Ce N 35., Z - <br /> o N N <br /> co <br /> 1 Z %%� r co <br /> — 3,7 .4rJLGI/LLC/LCC�YC�l1�ll�YA r4 <br /> •I 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 /> PRIM: Owner/Agent DATE: <br /> 5h04.A KA■Ar\ '0/23b <br /> SIGNATURE: Owner/Agent / <br />