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location survey, by a licensed surveyor, is required if your construction <br /> is s within 10 feet of a setback line. <br /> 0-5. 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: Alocation survey may add significant cost to your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . . . <br /> t. <br /> I <br /> �� 33' 33' <br /> Front Setback area S 72° 57' 40" E 254.01' 1 Side Setback area <br /> • r • Rear <br /> i - /' 1 area <br /> back <br /> rr, "4 O � r �� %�� O <br /> co <br /> H <br /> Needs a 10 feet W <br /> t„ <br /> �j��j W <br /> Q Location S' j%/ �, <br /> Q w I {� Survey 0 Setback W <br /> L ‘�/r' 169.8' / Line <br /> i1 = Proposed '�� O <br /> O N / 0 Addition <br /> o <br /> t---,_ _ _ _, R. <br /> N 35. _ c\J <br /> CO <br /> 1 Z <br /> 4.-7./ ‘et,JJ A cA <br /> to r • 1 <br /> • <br /> Side Setback area <br /> N 72°57' 40" W <br /> 33' 33' <br /> / <br /> v1. 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 is 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 /> DATE: <br /> PRINT: Owner/Agent —6 -17 <br /> SIGNATURE: Owner/A t <br />