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, w Aug. 6. 2009 3: 37PM No. 0838 P. 2/2 <br /> A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> 1 <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 /> r 1 <br /> you may need this if _ - <br /> 331 33' <br /> ! Roe&aback ar•a 72°57'40" E 254.01' stee sow*am <br /> 1 Rear <br /> - pi j/ //,%////J////%I %��I '!i % %////� , <br /> area <br /> O ` it <br /> O iii..•••■ Needs a TO Feet / z <br /> r % uuurrr �LLs W r co <br /> "'"" ' Location z LiJ <br /> 0 w Survey /4_Se a <br /> Q N '% 0 Po '`v,rr 169.8' � `"e PO <br /> re N 35.0 2 I a - <br /> O N <br /> N F• _ _ _cam/ / CO <br /> Z r <br /> • r . <br /> I side Seebeck area N 72°57'40" W I <br /> 33' 33' I <br /> J <br /> 1. I,the undersigned,hereby make application for a zon ng 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 properly owner,or a duly authorized representative, <br /> and may sign this permit application on behalf of the wner(s)of said property, and I have read and understand all of <br /> the conditions of this permit and will construct the pro in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with any p visions of the permit renders it null and void and may result in an <br /> enforcement action. 1 <br /> 2. I.the undersigned, hereby consent to the entry on thel'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 honing 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 /> /.f /.I <br /> SIGNATURE Ow /Agent I <br /> i <br /> f <br /> i <br />