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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' I I <br /> I I <br /> r Front Setback area S 72°57'40" E 254.01' i Side Setback area <br /> • .. • Rear <br /> O 1 irr , Setback <br /> j�// %Z�������////// area <br /> 10 Feet 1— <br /> co Needs a -,__ I W <br /> eee IMI Location <br /> W <br /> Q w I Survey ~Setback W <br /> po D Proposed 169.8' Line <br /> N Q Addition Z O <br /> iv 35. � io <br /> O N <br /> — � co <br /> T <br /> r <br /> 1 z <br /> 37 .4 rJ J A 4 cn <br /> • r • <br /> I Side Setback area <br /> N 72°57'40" W <br /> 33' 33' I I <br /> 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: Owner/Agent DATE: <br /> 05L r1a 423/15/ <br /> SIGNATURE: Owner/A%nt <br /> . 2f±V . <br />