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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 /> • <br /> / 1 <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72°57'40" E 254.01' i Side Setbaca area <br /> • <br /> .. Rear JJJ�'/J� Rear <br /> C //„ / �ii%/ii% 1 Setback <br /> / X ///.///�/�/ area <br /> O A . ..t 0 <br /> Q Need a% to Feet <br /> z <br /> w ___ME!!- Location ? �% ia TW <br /> QwCO L Survey s- .-Satoaok W 3 <br /> 0 O �% = Proposed L'•�, `�N 169.8' Line <br /> r' N Q Addition / <br /> cc <br /> _ r O <br /> iv 35. / <br /> �i / � is <br /> I's- <br /> _ N <br /> CO <br /> e. <br /> Z - — _� ��/. !/'l!/%1/_Ga ✓1XL/l/�GIG/!/�G%�!l�ll /!!/.!/.CGU / y <br /> • r M <br /> Side Setback area <br /> N 72°57' 40” W <br /> 33' 33' <br /> I <br /> J <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 /> _J; ,,7 4,c 's /C3 tg• go <br /> SIGNATURE: • e •gen <br />