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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 /> • <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 /> 1 <br /> you may need this if . . . • <br /> 33' 33' I I <br /> h i 1 r -I S 72°57'40" E 254.01' side <br /> • Front sN6�ac ara ( ' <br /> 1 <br /> s.ma� <br /> area <br /> R <br /> Needs a �o F..� <br /> e!!!.. Location <br /> Q. ... <br /> ( w 0 1 Li Survey ti' !�//�'' '°` 3 <br /> 0 �� p�...�.� 169. <br /> N ��� O Add %% O <br /> Ce / O <br /> h 35. %' id a id <br /> t` - - 80 <br /> Z - — 1*#.4, .,'A • co <br /> .sot sc „°. N72°57'40" W <br /> I <br /> 33' 33' I I <br /> ■ <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 /> ■ <br /> PRINT. Owner/Agent .I / dp' l I r) ern • cc_ DATE: J // <br /> . '''- — Or sell C---e . i'(‘C ck%. SIGNATURE: Owned <br /> 41/ / , <br /> . - • <br />