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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 /> Sallied's. .a'aka. S72°57'40" E 254.01' rya.Sdbadt <br /> • <br /> Roy <br /> ir,(7,, ,77,o ,. <br /> r 10 Fad %��� <br /> co Needs a it <br /> -__-__ Location 5 - <br /> W , 1 y Survey ,,_......, 3 0 N � O ^ � 168.8' ua. <br /> go <br /> Ce N 85•J4 _ / '1.1 co <br /> z _ _ilf#4, /4:, . . <br /> • <br /> I side&.back... N72°57'40" W I <br /> 33' 33' 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 DATE: /ff� <br /> noperi c-e_ Ca_fr(LL - '_ /� 7, S <br /> SIGNATURE: sNAgent <br /> 7:1,:&112/P-e---C r <br /> • <br /> I <br />