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• <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 /> ,l <br /> you may need this if . . . <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' r Skie Setback area <br /> � ' _ <br /> Rear <br /> o/yJ .,.. iiii .,,, � � � �i. �/� I area et <br /> o c <br /> iv Feet - ,1� z C�7 <br /> Q Ni \A,- <br /> a'� W <br /> _-- _-- Location % f <br /> Q , , w ' Survey W <br /> w � °' 33 <br /> 0 - ,_Setback Q <br /> e LW� 169.8' ----Vine > <br /> (,� Rropcsed k- co <br /> CC N 4 O A,dtiltloli J Q <br /> N 35. � = N <br /> f. _ _ _0_ /A/ -0 <br /> co <br /> Z co <br /> • r ?Side Setback area N 72°57'40" W <br /> 33' 33' 1 <br /> 1 <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 /> S.C$274e. ,.-/YS 7, r 06c- <br /> SIGNATURE: ertAg t <br />