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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 waits 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' 1 <br /> 1 I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • +l • <br /> ., !%T/J7/%7/7%/%7/T%�/7/T�%T/J/T�%T/J/T� 1r Rear <br /> V5X /////////////��%% /��� Setback <br /> area <br /> f O <br /> • <br /> •aaau1" 10 Feet / z k <br /> Q Needs a l Lu <br /> ____..--- Location 2 <br /> W <br /> Q w u) Survey 0 169.8' 94_Line <br /> O / proposed CC C4 35. Addition J O <br /> O / N <br /> OZ <br /> r <br /> • Side Setback area <br /> N 72°57'40" W <br /> 33' 33' I I <br /> I <br /> J <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 /> 2.1,the undersigned,'hereby consent'to the entry on the permitted premises by zoning,inspectors&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 /> .4-€54.1 (-- 42--kt •-) (A ty'11)C- ---) ( 0 / ii. i i 7 <br /> SIGNATURE: OwnerfAgent <br />