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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' <br /> I I <br /> • Front Setback area S 72°57'40" E 254.01' Side Setback area • <br /> Rear <br /> 1�4�� ,� / % Setback <br /> ck <br /> area <br /> O <br /> O O <br /> 10 Feet co <br /> O Needs a W <br /> •1.1!2!•• Location % W <br /> W <br /> Q I w p I 0 Survey _Setback <br /> � <br /> O = d 169'$r /CC Q Addition O <br /> iv 35. I <br /> c z is <br /> ° - _ N N <br /> 0 - - 00 <br /> ,.. <br /> I Z �/may cn <br /> -��r i %�irf, `/! ,#r � ! � u%ig Ai <br /> I Side Setback area <br /> N 72°57'40" W <br /> 33' 33' <br /> 1 <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 /> G h ar I,P s j. . S vsn \ -k L` kjet-f-L 14 . S frYl I fj1 <br /> SIGNATURE: Owner/Agent <br /> CIZ'6i i iLCM4))4, A-A4:i2:— 4r( —4.111Lt>g <br />