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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 /> • <br /> you may need this if . . . <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57' 40" E 254.01' r Side Setback area <br /> • <br /> I - Rear <br /> ������� Setback <br /> V 1.,,�������i//////• / 4 <br /> O <br /> • <br /> 10 Feet I- <br /> Q / Needs a / W C°1-C).Location <br /> 4 <br /> , Survey Setback to• 169.8' Line <br /> LIJ <br /> >-O W O / Addit Propoon sed <br /> 7.1 <br /> I- CO <br /> N Q O <br /> CC iv 35. I <br /> ei P - <br /> D CO <br /> O a co" <br /> o , o <br /> r e- <br /> I •Z - - - ,g&, ,s �,� �,s �,� �,s �� �,� /,s'�lg . <br /> • r <br /> I Side Setback area N 72°57' 40" W <br /> I <br /> 33' 33' I 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: Ow er/Agent DATE: <br /> /9 7-&? /:j <br /> */S7/C—- <br /> SIGNATURE: wner/Agent <br /> 4 <br />