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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 I <br /> I <br /> r Front Setback area S 72°57'40" E 254.01' r_Side Setback area <br /> • ♦ <br /> f Rear <br /> Se <br /> O 111 , /������� 1 a etaack <br /> O <br /> % O <br /> 10 Feet z <br /> Q Needs a W "' <br /> ••••,•••• Location 0+_s <br /> 169.8 5 io <br /> O (� Z , N <br /> — — %� O 0 <br /> I Z <br /> — _J� �/!1/1l�GLUGL C/GLC/[C!/[C!/!1/1!/1lGLllLLll <br /> • N 72°57'40" W • <br /> ISide Setback area <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 /> C qe 4. Cy 4/X-0. tdo1J /0 .- j c- C 9 <br /> SIGNATURE: Owner/Agent <br /> c-Ac.._&.,4m12A_,0q04-1- <br />