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1 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 <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • _ Rear <br /> D ���������//„// i Setback <br /> j Y� /%�%�%� � area <br /> O / <br /> O <br /> 3 10 Feet / Z. e� <br /> r- Needs a / <br /> O !MI!!! Location 4 W . <br /> Q I w 1 I !p UJ <br /> survey �Selback W <br /> 0 O - - % Proposed 169.8' Line <br /> N % 0 Addition J O <br /> CC Zv 35. _ ' m is <br /> I Z // [L LL L�LCC/i �1111�L/C[1! A <br /> _ _ __�� ���iii!F�CLLLiLGiL <br /> • r <br /> 1 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 /> YPc, 1-e 1-4.pi. do,--•\ 7c .5--- /5---- o 6-' <br /> SIGNATURE: ner/Age <br />