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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 snail be submitted to the zoning office before continuing work on the project <br /> • Note A locator 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 /> Fre^.t Setback area S 72° 57' 40" E 254.01 S.de Setcaca area <br /> • _ Reap <br /> ri, i,Z/ . #/ 1 area <br /> ' 1 1C Feet lj Z .. <br /> •0 -- Needs a' w <br /> 1 Location <br /> Qw I W Sur ve y Se'b <br /> acK W O O % O Proposed <br /> Adc:c^, Ct^l ti 169.8> e I- <br /> CO <br /> CC p <br /> N 35. <br /> O —� N <br /> o <br /> � O <br /> Z CA <br /> , _ _ _ 4 <br /> , . // <br /> , •. , r <br /> , . <br /> Side SetbacK area N 72°57' 40" W <br /> I . <br /> I <br /> 33' 33' <br /> I j <br /> J <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 /> SIGNATURE: Owner/Agent <br /> 7 -- <br />