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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' r Side Setback area • <br /> I • _ Rear <br /> RSetback <br /> area <br /> r 10 Feet f <br /> Needs a W <br /> 0 !!!!1eee Location a isi <br /> Qw , w Survey Ø+ Une 169.8,re Addition v 35. = 3 • <br /> O 0 .- N <br /> — — —`�� CO A <br /> Z U��j//j/� j/ j/j/ rn <br /> • - _J���/l1�G/I�GG%GG%LI[LC/L!!/!!/ll� IIGGILG! <br /> r • <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' <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: OwnedAgent DATE: <br /> ,Ja-L j�el(i? 86, (lwQ Co//. lis <br /> SIGNATURE: Owner/Agent <br /> 8(11- <br /> jaC,CAJIA-4/1# Ole-y- <br />