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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 /> I <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72° 57' 40" E 254.01' Side Setback area <br /> • - Rear <br /> ir.„„,,,„ <br /> Setback <br /> area <br /> G IV -.1\,/1 �% O <br /> M / 10 Feet f., M <br /> QLIT- <br /> —_-..--_ <br /> � Needs a":: Z <br /> � Location ? w <br /> QW 1 N Survey Ø4StbaCk <br /> p169.8'O N % ProposeC • 03 <br /> Addition M io <br /> o % �+ N <br /> • COe—N. — — —0— <br /> y <br /> — ` 7'11 !11K&JGGUGLC/LLUtll�ll�'LI�Il�'lJ A <br /> • F. <br /> Side Setback area N 72° 57' 40" IN <br /> 33' 33' I <br /> / <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:43w /A -7-25,p,-, 5 DATE: <br /> 5 , --7 )(,„,,„446,i (7 « eseic // 6. / <br /> SIGNATURE: Owner/Agent <br />