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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 /> I <br /> Front Setback area 72° 40" r I <br /> • <br /> S 72 57'40 E 254.01' Side Setback area <br /> I ' Lettack <br /> r area <br /> r.....zzAv. .#„,1 <br /> I <br /> o <br /> Q / Needs a ,o Fee` I i M <br /> CC I !!!!'!!! Location /�] a <br /> w , Suiveyr ��% setback ( a 3 <br /> I " <br /> 0 O t�k 169.8' ~Line W <br /> et N Q Aro itio / I o <br /> a 35. 2 P o <br /> o �% I io <br /> o I a o <br /> I Z ,... <br /> , . <br /> J.Ad <br /> _ _ .ilFr 4 rirJ <br /> • r 1 <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> 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 /> dp`)-CA n R:11 5 / /G O7 <br /> SIGNATURE: Owner/Agent <br /> , _„6, <br />