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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' I 33' <br /> I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • 1 • Rear <br /> C i/// l/. ///////�� %�ii �ii �ii i%//�� 1 O area <br /> tback <br /> O [�� 1 / <br /> 10 Feet t— co <br /> Q Needs a �/ z co <br /> !ee M!! Location % u <br /> Q I s> �/ W <br /> W / , N < SUNey �% 4_ w <br /> Line <br /> O O ' Proposed —t'"`��� 169.8' r'_- co <br /> N .J <br /> O Addition O <br /> CC c 35. �i% /] a 0 <br /> .0 <br /> Z �� cn <br /> - - _. l�l!/ll1/ Gl/G!/Gl/�'/1/Gl�'l1/ll�ll.J.�!! <br /> M <br /> • r • <br /> Side Setback area N 72°57'40" W <br /> 1 <br /> 33' 33' I 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. 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 /> V <br /> l "5 L££ f� 3/2 <br /> SIGNATURE: r/ nt <br />