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A location survey, by a licensed surveyor, is required if our construction <br /> is within 10 feet of a setback line. y <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 <br /> i <br /> I <br /> Front Setback area S 72°57'40" E 254.01' F.Side Setback area <br /> • <br /> Rear <br /> :;. ��������///// //J/J/J� �/J/� 1 I Setback <br /> p <br /> r �� �I!�����ii%/ii%/ii%/%% area <br /> �' Needs a 10 Feel / I I- o Tr <br /> Q w , w eeee�eee Location �/� <br /> fW <br /> / W <br /> Survey ^; / Setback I Q <br /> O Proposed L 1' k. '�ti 169.8' Line w <br /> N % <br /> Q Addiliun <br /> CC iv 35. / I <br /> P IJ ° <br /> 0 <br /> / ► , <br /> 0 CV <br /> I� _� / I N ° <br /> !' co <br /> — — — l /Llis:�tGiGiL/LiLL1L (/ I <br /> m A <br /> • r j <br /> Side Setback area N 72°57'40" W <br /> 33' 33' I <br /> J <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 O DATE: <br /> , 41 -1‹.2/ 15 <br /> SIGNATURE: Owner/A / <br /> gent � _ <br /> >,,,.. .--''G-------- ' <br />