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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' I I <br /> I I <br /> . Front Setback area S 72°57'40" E 254.01' r side Setback area l <br /> iRaw <br /> �il /iiiiiii %� � I NU <br /> ° ` <br /> ��/ I 10 Feet , F- �.. <br /> Needs a ' W <br /> Location r a <br /> Q w � W Survey Setback I ; <br /> O N k' 169.8' 0~Line = <br /> �v N j Q Adddi a 3 O <br /> Y. iv 35. % _ m io <br /> CO <br /> Z � to <br /> _ — _ E� ���!! ll�GG jGG%LG%LG!/�ll�Ll�!!/sllGGlLG! <br /> • r t( side Setback wee N72°57'40" W 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 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 I J�N <br /> P67yosk/ <br /> DATE: /((/7-&C <br /> SIGNATURE: ^t II <br />