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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' <br /> I I <br /> • Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • <br /> !%/� ///�/� 1 Rear <br /> C ! / ////////////�%��% % /,�� Setback <br /> area <br /> p <br /> CI;0 � Needs a 10 Feet / w co <br /> �% Location f <br /> Q w cn Survey w <br /> O `, 169.8' Øi_.Sethack <br /> Line F Fo <br /> Proposed o <br /> N Q Addition J O <br /> C: 0 35. _ iC <br /> fs- — — _g_ �j i N <br /> CO <br /> 1 Z re /j j// //j//j//j/ N- — /1l�LGUGG�/[ C/[!L LC !1/11�G1�L1GG1 <br /> • r t' Side Setback area N 72°57'40" W <br /> 33' 33' I 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: Ow geet DATE: <br /> 6/21/ 20/ 7 <br /> . A/ cr scA CA r--- <br /> SIGNATURE: ! /Age 1 <br />