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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 /> i 1 <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area <br /> • _ /jJJfJJJ f�JjJjJ�Jjj� 1 • Rear <br /> - ..,„ ///////////� �� ///%//i�� Setback <br /> :p�///T//7�//////� area <br /> O // 1 / O <br /> O <br /> 70 Feet h- <br /> co CD Needs a <br /> T Location <br /> Ili <br /> W lal to <br /> Q , Survey F, w <br /> C"l W`1`� 169.8' Øf_.Setback <br /> Proposetl Co 0 <br /> N O Addition J O <br /> CC c 35. _ 1- N <br /> 00,.. <br /> Z �j//// JAI <br /> _ _ <br /> • r • <br /> Side Setback area N 72°57'40" W <br /> 33' 33' 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 Agent DATE: <br /> zle stA__„,e/1 ---1-72-'1 ,- /.2 7/1 <br /> SIGNATUR • • /Agent <br />