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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 /> I I <br /> Front Setback area S 72°57'40" E 2554.01' F Side Setback area <br /> Rear <br /> r . .//..7."V.���// 1 <br /> area <br /> a <br /> T- <br /> T- �% 1 `I' �1;. iQ Feet f„ r <br /> CO CD Needs a / W <br /> W <br /> _______ Location <br /> '� I w � , N Survey 4--s8t ek W <br /> 0 0 m Proposes ^� 169.8' O ��ne Myyy <br /> �y tV 0 Addition / J o <br /> Y. N 35. i I i�� io <br /> o N <br /> r' — — — j ° <br /> op <br /> I z J.#4 j/j,�j////j//j//j//`//j// rn <br /> - _� �`11�11�GGlLG%GGILG!/`!!1!!/l1GGIGGIGG! <br /> 1 Side Setback area <br /> N72°57'40" W <br /> 33' 33' I 1 <br /> 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 /> Jeanette Acker Premier Builders Inc. V Pres 08/14/17 <br /> SIG URE: • er//A{ge�nt� /�/j <br /> /I— (-..�(,Nti K/r_�.- 4/. <br /> / <br />