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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 <br /> I <br /> I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area I <br /> • <br /> I <br /> it 1 1 Rear Setback <br /> area <br /> I O <br /> el <br /> .[Needs a% ,o Feet Z M <br /> 0 meat! 1 Location / I W <br /> Q w 1 N Survey _ / I <br /> ~S m ack I w O o # Proposed "�k `�1 169.8' e I F N Q Addition <br /> CC C iv 35. <br /> _ <br /> ° N_ _, <br /> ° <br /> I Z I I-co <br /> _147 g,j /4J ,_ _ <br /> I <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <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 /> Pct--A:7 M Ar�-KLE I►l 5- 14-i—ZcDB <br /> SIGNATURE: Own OOwn /�gentt /A <br />