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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 /> I I <br /> Front Setback area S 72°57'40" E 254.01' 1 Side Setback area l <br /> f Rear Setback <br /> rr w I area <br /> o - c <br /> O <br /> 0 <br /> 1-• <br /> Needs a 10 Feet < W co <br /> ,...,,... Location W <br /> Q I W , W Survey % Setback W <br /> O c Proposed 169.8' / Line <br /> CO <br /> N 0 Addition 0 J O <br /> re N 35.0 _ <br /> it. — — _A_O / ' N <br /> 00 <br /> r ♦- <br /> 1 . w .4,J JAI <br /> _ _ _ <br /> 1 14 , . • <br /> 1 N 72°57'40" W <br /> Side Setback area <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:74n L , 4ciretet a''A2- l7 <br /> SIGNATURE: Owner/Agent <br /> a <br /> rn olo 04 Lc.k ,b <br />