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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 /> • Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> 1 _ 1 • Rear <br /> rr/ Setback <br /> O /////�ii �iiii%/ii� i%�/%� area <br /> O � O <br /> 10 Feet / F- <br /> Q Needs a // W <br /> !UM!! Location p4_Setback <br /> W <br /> Q w / w <br /> Survey w <br /> en <br /> r Line <br /> 169'8 % • 00 <br /> N Q Addition J O <br /> CC o 35. _ i• s <br /> O - A� • N <br /> - CO <br /> Z — — —�t co: d��i_GGd �1YGGUGGUGG!/GYL�Il�l1�11�11�11GGC/ N <br /> •1 r f <br /> 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 /> I <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 /> Tom Jones 09/17/15 <br /> SIGNATURE: Owner/Agent <br />