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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 <br /> • Front Setback area S 72° 57' 40" E 254.01' Side Setback area <br /> • <br /> ., <br /> Rear <br /> r, „ / � Setback <br /> area <br /> / <br /> O / O <br /> 10 Feet co fe) W/ <br /> Q eeda <br /> w Location / N <br /> Q \ Survey W <br /> O tLl `_Setback tQ <br /> O Proposed 169.8' _re t— °o <br /> N 0 Addition O <br /> CC iv 35. _ �� = is <br /> O �� � � N <br /> co <br /> ,_ <br /> M cn <br /> _rir .F&J J A <br /> _ _ <br /> °r T <br /> • <br /> S,de 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: Owner ent DATE: 1 <br /> - /(91Z ///„4/---- .7 <br /> 5 - _....-/......C-5' <br /> SIGNATURE: Owl- • •ent <br /> / '67'7° c______ .2--'/Z- ' ' - <br />