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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: Alocation survey may add significant cost to your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . . . <br /> 33' 33' l I <br /> l <br /> • Front Setback area S 72°57'40" E 254.01' —Side Setback area • <br /> Rear• <br /> O j / �i////.////j i%//i%/r%p 1 SetbSetback et <br /> T 10 Feet �/ r r <br /> C r _- - Needs a — W r <br /> - Location <br /> W / ' �l- < .Survey ~Setback <br /> ch ■o % 3 Proposed 11�\ `�`~ 169.8' O L'ne r Co <br /> XN �} Addition J O <br /> IIiT 'iv 35. <br /> �% = <br /> OD N <br /> r <br /> _77,ff ,t&J J 44, <br /> _ _ <br /> 1 M <br /> Side Setback area N 72°57'40" W <br /> 33' 33' I l <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 DATE: <br /> Scott A. Foley, President Ultimate Construction, Inc. 01/04/23 <br /> SIGN UR • erlA nt <br />