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A location survey, by a licensed surveyor, is required if constr our <br /> is within 10 feet of a setback line. y construction <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' 1 33' I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area I <br /> SS' I <br /> / <br /> Rear <br /> ��.��� ������////// 1 I Setback <br /> O area <br /> O i I <br /> / I o <br /> M 10 Feet <br /> Needs a ►- M <br /> Q I W � , / I W <br /> ___ Location ii : <br /> ��Setback 169.8' /N 35. i% =O <br /> _ _ I ; <br /> I a <br /> 'l�y�� o <br /> • r I <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> \ 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 <br /> ` , i DATE: <br /> SIGAA,1 'i 3‘''')r■t—L :?,i)\0,211 e-C sY\9,k'. <br /> RE: Owner/Agent �T —67Y Je <br /> X4chiz > <br />