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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' I <br /> I <br /> Front Setback area S 72°57' 40" E 254.01' 1 S1de Setback area <br /> • • • Rear <br /> P/// f,/,.#-,,, #-##, 1�j�j Setback <br /> .0 <br /> o ° <br /> P- r 10 Feet 1- 'r• <br /> Q [ Needs a �-` / z r <br /> ••••,:___ ? Location r g <br /> Q W <br /> W �/ , N { Survey \ 04_Setback' 169.$' N• co <br /> N Q Addition J O <br /> iv 35. _ io, . <br /> • -- —a ._co <br /> I z <br /> reff .,4,J JA4 (I) <br /> _ _ cf) <br /> • I 6 <br /> j Side Setback area N 72°57' 40" W <br /> I <br /> 33' 33' I <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: Owner/Agent DATE: <br /> L.Arr Kai I 2_' la - 15 <br /> SIGNATURE: wner/Agent <br /> bqaLtUDa .1 <br />