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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 /> I <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72° 57' 40" E 254.01' F Side Setback area <br /> • • Rear <br /> v// / #ZZ 1 <br /> Setback <br /> area <br /> O ! <br /> O O <br /> 1— 1 Feet r' <br /> CO Needs a o eet / W <br /> mee le!! Location / W <br /> QW , u) Survey Ø4.....Setback w e posed 169.8 J O <br /> 0 35. N <br /> co <br /> Z - — —� l�ll�llgr&J '/1/z'll�'ll�ll�ll�l!/l/G'/1/ 41 N <br /> M <br /> • r • <br /> Side Setback area N 72° 57' 40" W <br /> 33' 33' I I <br /> \ J <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 /> Tom Jones 09/17/15 <br /> IGNATUR • -- 'Agent <br /> A -I -- <br /> i 114 Voiroi//' <br />