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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 /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • Wil- /TJJ/T� /7T�J7TJTJ� 1 Rear <br /> O ''ZX ,,,.g #/// i iii%i //� O Setback <br /> area <br /> f. ���� <br /> % � 10 Feet fO Needs a /M r • e- <br /> !eee:�eee Location /Q W W Survey setback fn n AN 169.8' ~Line 0 OProposed • O CC N O Atldrtion 0 35. % / • s rs _ _ _d_o %% N O 1 Z - - mil/��%%��l/l/�/l/��%% <br /> • r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' <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/. • :nt DATE: <br /> 10 • rot /2—Z2 - 2d( 2 <br /> SIGNATU • nerlAge <br /> A ae,i, IC/RI <br />