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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 Wsconsin Licensed Land Surveyor. <br /> r <br /> you may need this if . . . <br /> 33' 33' } <br /> Frond Setback area 72°57'40" 1 <br /> • <br /> S 72 57 40 E 254.01' rswe setback area <br /> - 1 <br /> Rear <br /> iiii ��/,��/� seek <br /> �aa <br /> ONeeds a ,o Feet Z co <br /> ..,,,... Location a r <br /> 0 Q I w I Survey 2 3 Setback a , `Line +� <br /> N 0 t�^� 166.8 : <br /> Cr iv 35.0 I _' ° <br /> ° t` <br /> o � / im N <br /> a -- — — <br /> I� .N- a <br /> CO <br /> 2 1- <br /> • r <br /> side setback area N 72°57'40" W <br /> 33' 33' <br /> ■ <br /> 1 <br /> 1. 1, 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. 1 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: OwnedAgent DATE: <br /> 5.. 1— '—tio 0 ` 5_(0 — 0-0 L�� <br /> SIG <br /> RE: OwnedAgent <br /> I -7 <br />