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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' I I <br /> Front Setback area S 72° 57'40" E 254.01' Side Setback area <br /> 1 Rear <br /> I Setback <br /> P/// Z�� ,/�.##.7��i%%%i%%/%%%i%% /i!%// y area <br /> O <br /> N— �� 10 Feet 1- r <br /> t Needs a W <br /> ••••,•••• Location W. <br /> W / ul > <br /> cn <br /> Survey / Setback w <br /> r � Se Line . <br /> ® O = Propp°sad 169.8' F-- CO <br /> N 0 Addltlon J O <br /> C a 35.0 _ m CD <br /> [ N N <br /> O 4 r ° <br /> co <br /> _ _ __.IiLL[�'ll <ii�G'JL(Ji��. A„, <br /> . . r <br /> I Side Setback area N 72°57' 40” W <br /> ( <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. - DATE: • <br /> ,i Gr ,-fyt!. _,yp.i l�r✓f . '96//(a <br /> SIGNATURE: Owner/Agent /. <br /> • <br /> ,d4 ,a-e-11.--, 4.ccj ( J 4, <br /> IA_ <br /> A. e4.,w - . . _ . <br />