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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 /> • Rear <br /> rf i Setback <br /> / /// #.///�i i i iii�/�� area <br /> O <br /> 10 Feet H <br /> 0 Needs a // <br /> eeee�eee Location <br /> / W <br /> % 1 w , \ Survey %�~Setback W <br /> 169.8' / Line } <br /> O O = Proposed �� F co <br /> CC <br /> N 0 Addition J O <br /> a 35. I 1= <br /> m io <br /> O N <br /> _, N <br /> O co <br /> Z co <br /> �� CLL rr��.CG!/J:%C ;LiLeLGLiLLlC s:CL,•��Jr��.CCI.LLISiL! A co <br /> • r <br /> 1 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: Owner/Agent DATE: <br /> VIIA)4:1\rii\k-ke- 7/ (2 / 1 e <br /> SIGNATURE: Owner/Ag jt, <br /> '7( <br />