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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 /> you may need this if . . . <br /> 33' 33' I <br /> I <br /> —Front Setback area S 72°57' 40" E 254.01' F <br /> Side Setback area <br /> • <br /> „ Rear�// 1 Setback <br /> o d <br /> Il,,„. #,,o'./—## iiii%ii��%�i%//�i% area <br /> O . O <br /> el 10 Feet ti M <br /> Q Needs a W <br /> L(111 <br /> e•!!reee c-> <br /> Location ,0 <br /> % m <br /> Q w � I Survey _Setback W <br /> Line <br /> O / = Proposed ��`' 169.8' I- co <br /> N Q Addition p O <br /> Ct iv 35. eCo <br /> O —�� 4 - N <br /> O rV <br /> 1- <br /> Z cn <br /> el <br /> . r <br /> Side Setback area N 72° 57' 40" W <br /> 33' 33' <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: OwnerlAgent DATE: <br /> k et-( 1 S - -C-.\ C_c ." / c— zC) Z' <br /> SIGNATURE: •wnertAgent <br /> J <br />