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• <br /> A location survey, by a licensed surveyor, is required if your construction <br /> Lion <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' I 33' I <br /> Fnen see.a ann S 72°57140" E 254.01' F "°' <br /> I f I Setback <br /> area <br /> b111.1111112 MMMMMMMM gl et <br /> o • cs <br /> T <br /> 9 Needs 8 10 i M <br /> W ---- --- Location <br /> Q I iu , 1 m Survey . ,4_ 13 <br /> o = � MN�r. 169.8' <br /> Ids N �� O � - <br /> a 35.�� s N ap <br /> co <br /> Go <br /> 1 z ..i&J#4,(if JA . . <br /> • . <br /> N 72°57'40" W <br /> I �.S.m.Ck.a I <br /> 33' 33' I 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 owners)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 en <br /> enforcement action. <br /> • <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 artier revoked in writirig by the owner of the property. <br /> PRINT. Owner/Agent DATE <br /> M--gtfILe. CeK&ILC(A - 11— 4- 11/ <br /> SIGNATURE: Owned p - <br /> x . <br />