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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 /> youmay need this-if---. - ..-. .__,..__.._..:-_ <br /> 33' 33' I I <br /> I I <br /> Front Setbackcir area $ 7,720;7/' 40" E 254.01I' r Side Setback area <br /> ' • .01'yjJ/J�j+lJ Rear <br /> ������� . / <br /> area <br /> lack <br /> 0 <br /> Needs a� 'o Feet / W r <br /> se!!!!!!!! 5 Location. // W <br /> :511c i W W <br /> , CO Survey ii �Setback w <br /> O d = Proposed L.� 169.8' Line co <br /> itN Q Addition O <br /> iv 3 5.r. .... .... .., <br /> _ 5 is <br /> O is,— N <br /> cp <br /> co <br /> Z t/1 <br /> — — < !I !!/.GGf'JL� G�%Gl!/ll�ll�l1�llGGJJ <br /> M <br /> • r • <br /> I Side Setback area 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 Xiie- <br /> DATE: <br /> ySSeit 371$/2021 <br /> SIGNATURE: Owner/Agent �" {� <br />