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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 I <br /> • Front Setback area S 72°57'40" E 254.01' F Side Setback area • <br /> I _ JJ�JjJ� Rear <br /> Y !z/ ////,��������� � I <br /> area <br /> O [ O <br /> O <br /> M �� 10 Feet / H <br /> O ,-- <br /> Needs a W <br /> eeee:eeee Location Ø+....Setback <br /> I W / , Survey cn ind 169.8'doCt ' m if),, <br /> I r %%� oD <br /> Z - - flfff ."4,JGi<%Gj///t'l1/11.��'llGGlJ co <br /> m <br /> • I • <br /> Side Setback area N 72°57'40" W <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: / <br /> adore L/✓e/Schs(/ `5/l( ✓2 /( --- <br /> SIGNATURE: Owner/Agent <br /> % 4--X -."�. <br />