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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 /> Front Setback area S 72°57'40" E 254.01' F Skis Setback area <br /> • <br /> I • Rear <br /> el 'j��/ //,,rte///�%/, /,ii.:_f . react` <br /> o <br /> Q <br /> "a""" Needs a 10 Feet <br /> Location a <br /> Q I W _-___.___ Survey ,Setback c <br /> ku <br /> O G Propoaed 169.8' /// une Co <br /> CC N Q AddRion G <br /> Cv 35. Z P • <br /> CD <br /> ° N <br /> I Z <br /> j r • <br /> i . <br /> 3kle Setback area N 72°57'40" W <br /> 33' 3 ' <br /> 1 <br /> 1. I,the undersigned,h ereby make application for a zoning permit only for the location and the work described herein and <br /> certify tq the accuracy of that information.I further certify I am the property owner,or a duly authorized representative, <br /> and maysign'thie 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 agtioq.. <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: OwnedAgent DATE: <br /> r r s fol. D. Cr' i <br /> aiat �Prst i <br /> Ch 2 ?, 2O/J <br /> SIGNATURE: er/Agent 77 A <br />