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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 <br /> 1 F Front Setback area S 72°57'40" E 254.01' Side Setback area • <br /> Wil I�Rear a <br /> /1 //// "? 1 i I areack I v <br /> O <br /> 01 Needs a 10 Feet / w <br /> ci co <br /> eeee1eee Location / W <br /> Q W , N Survey w <br /> ' 94_Setback <br /> 169.8 J O <br /> CC ig 35.0 I I— • <br /> f... _ _ _a_ ... . <br /> co <br /> , .... <br /> z co <br /> _rir .."4,J , <br /> J.Ac, <br /> _ _ co <br /> • r • <br /> Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <br /> J <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 /> Ste/ 63ari_ 2 — ��15 <br /> SIGNATURE: Owner/Agent <br /> Halffitiii..55, ._ <br />