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A location survey, by a licensed surveylor, is required if yrx,rr construction <br /> is within 10 feet of a setback line. <br /> • You wi I reed 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 locat on 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 <br /> Front Setback area S 72°57'40" E 254.01' F.Side Setback area <br /> • <br /> Rear ilea <br /> Setback <br /> ri, x,.„, J ,O ; v <br /> —1 11 0 <br /> .- / •.".... 10 Fee! 14 <br /> Q � Needs a �Ø+_sethack <br /> w <br /> ,...,,... i Survey <br /> Q l{I % j Y 169.8' <br /> O (j N m <br /> Y� <br /> CO <br /> Z r <br /> _if,/#.#4,J JAI ca <br /> _ _ <br /> • r <br /> Side Setback area N 72°57'40" W <br /> 33' 33' <br /> \ / <br /> 1. I,the unders gned,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: `' ! •t DATE: <br /> r/ t- , 149 .. t°i• /7 2 -;6-- .76. <br /> SIGNATURE: 1 <br /> '71/,4/ 64<ent <br /> i <br /> 1 <br />