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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' r Side Setback area <br /> � • 1 Rear <br /> D 1 Setback <br /> O rl//// / ��/������ ��%� 1 area <br /> 10 Feet -% F r <br /> �'� % Needs a / W <br /> 0 � eeee:!eee Location / . <br /> Q I w 1 III Survey �\ Setback w <br /> O - % A1I r 169.8' Line <br /> O Proposed GO <br /> N 0 Addition -7i O <br /> Ce N 35. / _ <br /> a z N <br /> °O 4� N <br /> 7/ ge& A <br /> _ _ ct, <br /> • I-4 <br /> 1 Side Setback area N 72°57'40" W <br /> I <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/Agent DATE: <br /> (7.4k-b ft+ L(6(1-11—E-0,1— _ 5 4\770?) <br /> GNATURE'Owne ,. •ent 14 i <br /> Vi It‘ <br />