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i <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 S 72°57'40" E 254.01' F Side Setback area <br /> • 11 Rear <br /> rZ///,//,/,//////�i%%ii%%ii%%%ii%/ii% /�� Setback <br /> [rte// area <br /> O A J <br /> co <br /> Needs a 10 Feet / W <br /> e!!e:eee! Location <br /> W QILI <br /> I W , Survey \ W O N dpnd �� 169.8' /~Setback <br /> Line <br /> Q Proposed <br /> o <br /> ir is, 35., I 1-- ^ <br /> 0 = N <br /> O - ' N <br /> r e co <br /> Z _ _ <br /> iir#4,JLiLLSLLiL�'l1�Jl�Jl�LGISi'Ll<i� 411 <br /> co• <br /> r <br /> Side Setback area N 72°57'40" W <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: Owner/Agent/ l� 1 DATE: <br /> SIGNATURE: Own gent <br /> -:-'. (- IP j IQ <br />