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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' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> 1 • <br /> ., Rear <br /> area <br /> o / o <br /> c .� 10 Feet / t" M <br /> Q Needs a W <br /> Location <br /> j/�, W <br /> Q I w , U) \ < Survey ` Setback W <br /> 0 c ► 3 P ` ^�'r 169.8' u"° _ <br /> CeN I nd itbn � J C <br /> g. _ _ _a_0 35. ' a 0 <br /> °0 <br /> _Jr& ..4,J JA u, <br /> _ _ <br /> • r • <br /> ' Side Setback area <br /> N72°57'40" W <br /> 33' 33' 1 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: OwnerlAgent DATE: <br /> 5 ■ �;inn i- <br /> [— q—IIc <br /> SIGNATU-E: Owner/A.Knt <br />