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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 /> I <br /> Front Setback area S 72° 57' 40" E 254.01' r Side Setback area <br /> • 1 • Rear <br /> r yx./.. ,,/ 1 Setbarea <br /> ack <br /> /� o <br /> .- N ✓L 0 o Feet / <br /> M Needs a -- z <br /> ? Location W <br /> W e'," rn <br /> Q U' I cnSurvey s % �Se;back W <br /> O o 4 v 2-j v�/��N 169.8' i'r'e F <br /> O Pro osed O <br /> N Addition /� -1 O <br /> iv 35.—, <br /> _ m Co <br /> O G `" N <br /> r — — ';=I j CO <br /> / , j J <br /> • r • <br /> 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 /> -114' 0/ 6 YiAli-i'ii E _ /r- z,-i,Z 7 <br /> SIGNATU E: Owner gen <br /> /i .....e...0.„„..------- <br /> a <br />