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A location survey,by a licensed surveyor, is required if your construction <br /> is within 10 fleet of a setback line. <br /> • You wit 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 /> , <br /> • <br /> 33' 1 33' <br /> • <br /> Fret ar <br /> t Setback ea S 72°57'40" E 254.01' 1 Sice Semeck area <br /> • <br /> • <br /> • • <br /> Rear <br /> / /////� I a eback <br /> ,� <br /> O �/'�l '�" �f�r\�'� 10 Feel ..1f�� O <br /> • <br /> T ......: Needs Z "' <br /> >Location i f W F <br /> Q w I r Survey ° <br /> rf� /4— tback W <br /> O o („ 1 3 P�\xtsr�a G-y�,•N 189.8' <br /> to <br /> (NI Q ?.d�txt O <br /> 0 35.e I % m <br /> •• <br /> Z— — _� lll �G!/� illl/li//1l/�!!/�/ fi <br /> • <br /> • <br /> Side setback area N 72°57'40" W <br /> 33' 33' <br /> • <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 /> I PRINT: Owner/Agent : DATE: _ <br /> mil' Nit rf?J lv���� <br /> SIGNATURE: Owner/Age <br />