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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' 1 Side Setback area <br /> pr, z, „ I <br /> o <br /> Q Needs a ,o Fee, w <br /> M Location r 2 <br /> ta <br /> Q w , 1 LI Survey ,4_Setback W <br /> O o � Proposed 169.8' % �` Co <br /> N 0 Addition J O <br /> re N 35. _ % m <br /> Z G� � <br /> _ _ _��f/��11Gll�G�lG� L %L %�11�!!�l!�lI�GIG�% <br /> ' sae setback area <br /> N72°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 /> end may sign s—permn'rapplication-oirtiehattof-the ovwrrer(s)of said property,-and t 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: OwneAAgent DATE:MC 66t- .9- 7 - 0/?-- <br /> SIGNATURE: OwnerlAgeeht <br /> Z2 <br />