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a <br /> 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 S72°57'40" E 254.01' F.side Setback area <br /> • <br /> 1 _ I <br /> Rear <br /> -Z/�� ��#/ a Setback <br /> area <br /> 10 Feet F. <br /> 01 O Needs a I w <br /> eeeenit!! Location Ø4 .Setback <br /> W <br /> Q w I CO Survey 169.8'o d J O <br /> CC iv 35. �% 7 io <br /> O � �_ iv N <br /> CO <br /> I Z <br /> - — lirl1�LGl/LGC/LC/[ C/[!!/C!/!!/l1GlCLI/4 co <br /> • r <br /> 1 Side Setback area N72°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 /> 4.t 1 s / 44 rte— /a/e/r <br /> SIGNATUR - /Agent <br /> L.E.„, <br />