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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback lin' . <br /> \i'7 <br /> • You will need to hire a surveyor to prepare a loc tion survey to verify the construction location. / 2 '7 <br /> • The survey shall be done at the time when foun ations or basement walls are completed. <br /> • A location survey shall be submitted to the zoni g office before continuing work on the project. <br /> • Note: A location survey may add significant cost o your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> I <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 /> ., /TJJ' J7T�TTT� Rear <br /> (/ 1OFe <br /> et / f— <br /> Needs a W <br /> eeee:�eee Location j W <br /> Q w / 1 (n � Survey ~Setback W <br /> OO �% = Proposed r l�^~ 169.8' ��% Line } <br /> Ce N /j 0 Addition / ] O <br /> iv 35.`% _ ��� z io <br /> O % a N 0 <br /> co <br /> ,_ <br /> Z <br /> 19.... _ ��jj /f j// //j// to <br /> — _ � /1/!1/1l�L�lI LGULLULLU[!1/!1/!1/l1GLllGLU <br /> co <br /> Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <br /> \ / <br /> 1. I, the undersigned, hereby make application for a oning permit only for the location and the work described herein and <br /> certify to the accuracy of that information. I further ertify I am the property owner, or a duly authorized representative, <br /> and may sign this permit application on behalf oft e owner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct the roject in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with an 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 determ ne 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 /> George Kohn 08/07/15 <br /> SIGNATURE: Owner/Agent <br /> pf ) <br />